PHOENIX CENTER


Address: 1400 Cleveland St, Greenville, SC 29607-2410
Phone: 8644673073

PHOENIX CENTER (NPI# 1861892259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861892259
Entity Type Organization
Organization Name PHOENIX CENTER
Practice Address 1400 Cleveland St
Greenville
SC 29607-2410
Practice Telephone 8644673073
Practice Fax Number 8644673114
Mailing Telephone 8644673073
Mailing Fax Number 8644673114
Enumeration Date 2014-09-04
Last Update Date 2014-09-04
Authorized Official Name DEBORAH JOHNSON (MAT MGR.)
Authorized Official Telephone 8644673790
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PHOENIX CENTER ARTS ASSOCATION 1202 N 3rd St, Phoenix, AZ 85004-1812
System for Award Management (SAM) Entities PHOENIX CENTER BEHAVIORAL HEALTH SERVICES 940 Highway 96, Warner Robins, GA 31088-2584
System for Award Management (SAM) Entities PHOENIX CENTER FOR REHABILITATION & PEDIATRICS 1433 Ringwood Ave, Haskell, NJ 07420-1520
New York State Corporations PHOENIX CENTER OF LONGEVITY, INC. 23 Joanne Drive, Holbrook, Ny 11741
System for Award Management (SAM) Entities PHOENIX CENTER SCHOOL 16 Monsignor Owens Pl, Nutley, NJ 07110-3712
Massachusetts Corporations PHOENIX CENTER, LTD. 37 Interlaken Rd., Rte. 183, Stockbridge, MA 01262
System for Award Management (SAM) Entities PHOENIX CENTER, THE 1400 Cleveland St, Greenville, SC 29607-2410

Office Location

Street Address 1400 CLEVELAND ST
City GREENVILLE
State SC
Zip Code 29607-2410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891795738 Greenville County Commission On Alcohol and Drug Abuse Clinic/Center 1400 Cleveland St, Greenville, SC 29607-2410 2005-07-21
1548861776 Elizabeth Wakefield Freeman Social Worker 1400 Cleveland St, Greenville, SC 29607-2410 2020-11-04
1033745898 Heather Louise Mack Counselor 1400 Cleveland St, Greenville, SC 29607-2410 2020-03-12
1306470182 Melissa Ann Zankman Counselor 1400 Cleveland St, Greenville, SC 29607-2410 2020-03-02
1366080400 Maria Voncile Smartt Counselor 1400 Cleveland St, Greenville, SC 29607-2410 2019-12-19
1962040287 Daniela Cano Counselor 1400 Cleveland St, Greenville, SC 29607-2410 2019-12-17
1023655164 Vincent Oliver Vargas Counselor 1400 Cleveland St, Greenville, SC 29607-2410 2019-12-09
1619512118 Jason Powell Hundley Counselor 1400 Cleveland St, Greenville, SC 29607-2410 2019-11-08
1548803026 Gitonya Yvette Bolden-clay Counselor 1400 Cleveland St, Greenville, SC 29607-2410 2019-10-28
1114560059 Melissa Montalvo Counselor 1400 Cleveland St, Greenville, SC 29607-2410 2019-10-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245846138 Personalized Home Care Services Technician 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 2020-09-16
1396361960 Complete Homecare of America, Inc. In Home Supportive Care 128 Millport Circle, Suite 200, Greenville, SC 29607 2020-06-19
1275175093 Carrie Laxton Ballenger Nurse Practitioner 2094 Woodruff Road, Greenville, SC 29607 2019-10-14
1861047037 Susannah Long Marriage & Family Therapist 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 2019-08-05
1043872369 Cheryl Craig Rosemond Case Manager/Care Coordinator 5 Century Drive, Suite 130, Greenville, SC 29607 2019-07-08
1457916561 After Hours Chiropractic LLC Chiropractor 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 2019-05-03
1952865289 Orthodontic Specialists of Carolina, PC Dentist 611 Haywood Road, Greenville, SC 29607 2019-01-31
1124502307 Martha Irby Home Health Aide 2320 E North St Rr 107, Greenville, SC 29607 2018-09-24
1780164541 Suval Psychiatric Services, Pa Clinic/Center 33 Market Point Dr Ste 2023, Greenville, SC 29607 2018-08-20
1083113963 Caroline Graham Nurse Practitioner 850 S Pleasantburg Dr, Greenville, SC 29607 2018-02-06
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578105979 Solutions Recovery Counseling, Inc Substance Abuse Rehabilitation Facility 207 W Antrim Dr, Greenville, SC 29607-2329 2019-10-17
1235670696 Randy's House Substance Abuse Rehabilitation Facility 203 E Washington St, Greenville, MI 48838-1944 2017-03-17
1114466893 Walter B Jones Center Lakeside Psychiatric Hospital Substance Abuse Rehabilitation Facility 2577 W 5th St, Greenville, NC 27834 2017-02-15
1407218084 Lighthouse Treatment Center Substance Abuse Rehabilitation Facility 3919 S Highway 14, Bldg A, Greenville, SC 29615-6138 2016-03-23
1326327461 Prime Agency LLC Substance Abuse Rehabilitation Facility 111 E 3rd St, Greenville, NC 27858-1803 2011-08-07
1932258795 Port Health Services Substance Abuse Rehabilitation Facility 203 Government Cir, Greenville, NC 27834-8198 2007-01-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972143485 Landmark Recovery of Columbia LLC Substance Abuse Rehabilitation Facility 140 Flora Dr, Columbia, SC 29223-5814 2020-01-13
1457800310 Summit Bhc Cameron, LLC Substance Abuse Rehabilitation Facility 5401 Netherby Ln Ste 402, North Charleston, SC 29420-7363 2016-10-03
1235686833 Summit Bhc Cameron, LLC Substance Abuse Rehabilitation Facility 499 Wild Hearts Road, Cameron, SC 29030 2016-09-01
1659776664 Katonya Alford Substance Abuse Rehabilitation Facility 505 N 5th Ave, Dillon, SC 29536-2815 2014-11-03
1609008713 Steve Austin Facility of Charleston Substance Abuse Rehabilitation Facility 1383 Remount Rd, North Charleston, SC 29406-3345 2009-08-23
1063681591 Givebac Incorporated Substance Abuse Rehabilitation Facility 1481 Ted Melton Rd, Chesterfield, SC 29709-6313 2008-02-28
1134158231 Horry County Comm On Alcohol & Drug Abuse Substance Abuse Rehabilitation Facility 2404 Wise Rd, Conway, SC 29526-5521 2006-07-01
1770572448 Tri-county County Commission On Alcohol and Drug Abuse Substance Abuse Rehabilitation Facility 910 Cook Rd, Orangeburg, SC 29118-2124 2005-10-17
1487653606 Beaufort County Alcohol & Drug Abuse Department Substance Abuse Rehabilitation Facility 1905 Duke St, Ste 270, Beaufort, SC 29902-4403 2005-07-19
1861496234 Department of Alcohol and Other Drug Abuse Services Substance Abuse Rehabilitation Facility 5 Charleston Center Dr, Charleston, SC 29401-1162 2005-06-13
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Competitor

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City GREENVILLE
Zip Code 29607

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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