OrganizationActive
Phoenix House Child Agency
NPI 1053586065 · Custodial Care Facility · Waxhaw, NC
Phoenix House Child Agency is a Custodial Care Facility organization in Waxhaw, NC (NPI 1053586065).
Provider details
- NPI number
- 1053586065
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Leslie Taylor, Social Worker(704) 536-7931
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8916 Woodhall Lake Dr
Waxhaw, NC 28173-6800
Phone: (704) 536-7931
Street-level locationGet directions
Mailing address
8916 Woodhall Lake Dr
Waxhaw, NC 28173-6800
Registry dates
- Enumerated
- 2008-04-30
- Last updated
- 2008-04-30
Frequently asked questions
- What is Phoenix House Child Agency's NPI number?
- Phoenix House Child Agency's National Provider Identifier (NPI) is 1053586065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix House Child Agency?
- Phoenix House Child Agency is classified in the NPPES registry as Custodial Care Facility (Nursing & Custodial Care Facilities).
- Where is Phoenix House Child Agency located?
- Phoenix House Child Agency's practice location on file with NPPES is 8916 Woodhall Lake Dr, Waxhaw, NC 28173-6800.
- What is Phoenix House Child Agency's phone number?
- The practice phone number listed in the NPPES registry for Phoenix House Child Agency is (704) 536-7931.
- Who is the authorized official for Phoenix House Child Agency?
- The authorized official listed on Phoenix House Child Agency's NPPES record is Leslie Taylor, Social Worker. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix House Child Agency's NPI active?
- Yes — Phoenix House Child Agency's NPI (1053586065) is active in the NPPES registry as of the last update on 2008-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.