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Phoenix Community Support Services Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Birmingham, Alabama
NPI 1861099186

Phoenix Community Support Services Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Birmingham, AL. Phoenix Community Support Services Llc practices in Birmingham, AL. The NPI Number for Phoenix Community Support Services Llc is 1861099186 and holds a License No. (Alabama).

The current practice location address for Phoenix Community Support Services Llc is 4111 Avenue L, Birmingham, AL and can be reached out via phone at 803-849-2925.

Location: 4111 Avenue L, Birmingham, AL, 35208-1807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861099186
Provider Name
Phoenix Community Support Services Llc
Credential
Provider Entity Type
Organization
Address
4111 Avenue L, Birmingham, AL, 35208-1807
Phone Number
803-849-2925
Fax Number
Provider Enumeration Date
10/09/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4111 Avenue L
City
Birmingham
State
Alabama
Zip
35208-1807
Phone Number
803-849-2925
Fax Number
person
Provider Business Mailing Address Details
Address
4111 Avenue L
City
Birmingham
State
Alabama
Zip
35208-1807
Phone Number
803-849-2925
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
()
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
()
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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