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Phoenix Service Corporation
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in West St Paul, Minnesota
NPI 1881645067

Phoenix Service Corporation is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in West St Paul, MN. Phoenix Service Corporation practices in West St Paul, MN. The NPI Number for Phoenix Service Corporation is 1881645067 and holds a License No. 1069741-1-HCBS (Minnesota).

The current practice location address for Phoenix Service Corporation is 330 Marie Ave E, West St Paul, MN and can be reached out via phone at 651-227-7655 and via fax at 651-227-6847. You can also correspond with Phoenix Service Corporation through the mailing address at 330 MARIE AVE E, WEST ST PAUL, MN - 55118-4011 (mailing address contact number: 651-227-7655).

Location: 330 Marie Ave E, West St Paul, MN, 55118-4011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881645067
Provider Name
Phoenix Service Corporation
Credential
Provider Entity Type
Organization
Address
330 Marie Ave E, West St Paul, MN, 55118-4011
Phone Number
651-227-7655
Fax Number
651-227-6847
Provider Enumeration Date
05/13/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
596555100 05 MN
institution
Provider Business Practice Location Address Details
Address
330 Marie Ave E
City
West St Paul
State
Minnesota
Zip
55118-4011
Phone Number
651-227-7655
Fax Number
651-227-6847
person
Provider Business Mailing Address Details
Address
330 Marie Ave E
City
West St Paul
State
Minnesota
Zip
55118-4011
Phone Number
651-227-7655
Fax Number
651-227-6847
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
1014199-1-WS (Minnesota)
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
1069741-1-HCBS (Minnesota)
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
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(Minnesota)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
1069741-1-HCBS (Minnesota)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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