Phoenix Group Home, LLC
NPI 1336654854 · Substance Abuse Rehabilitation Facility · Cincinnati, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phoenix Group Home, LLC is a Substance Abuse Rehabilitation Facility organization in Cincinnati, OH (NPI 1336654854).
Provider details
- NPI number
- 1336654854
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Phoenix Group Home LLC
- Organization subpart
- Yes
- Authorized official
- Abbie Carpenter, Credentialing Specialist(304) 794-6285
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
21 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Path Behavioral Health- Sud
- Doing business as
- Path Behavioral Healthcare
- Doing business as
- Path Integrated Health
Additional practice locations (20)
- 9711 E Pike Rd Rm 104Cambridge, OH 43725-8936Phone: (740) 825-8543
- 111 W Water StChillicothe, OH 45601-2452Phone: (740) 851-6493
- 11201 Shaker Blvd Ste 102Cleveland, OH 44104-3833Phone: (216) 758-4120
- 7211 N Main StDayton, OH 45415-2566Phone: (937) 791-1427
- 188 W Hebble AveFairborn, OH 45324-4960Phone: (937) 754-5911
- 905 N Main StFindlay, OH 45840-3670Phone: (567) 525-4100
- 10 Myrtle AveGallipolis, OH 45631-9772Phone: (740) 208-7462
- 1404 N High StHillsboro, OH 45133-8692Phone: (740) 400-0411
- 3044 Columbus Lancaster Rd NwLancaster, OH 43130-8125Phone: (740) 883-9300
Registry dates
- Enumerated
- 2017-12-06
- Last updated
- 2026-02-06
- Certified
- 2026-02-06
Frequently asked questions
- What is Phoenix Group Home, LLC's NPI number?
- Phoenix Group Home, LLC's National Provider Identifier (NPI) is 1336654854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Group Home, LLC?
- Phoenix Group Home, LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Phoenix Group Home, LLC located?
- Phoenix Group Home, LLC's practice location on file with NPPES is 3012 Glenmore Ave Ste 104, Cincinnati, OH 45238-2258.
- What is Phoenix Group Home, LLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Group Home, LLC is (740) 858-1659.
- Does Phoenix Group Home, LLC accept Medicare?
- Phoenix Group Home, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Phoenix Group Home, LLC?
- The authorized official listed on Phoenix Group Home, LLC's NPPES record is Abbie Carpenter, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Group Home, LLC's NPI active?
- Yes — Phoenix Group Home, LLC's NPI (1336654854) is active in the NPPES registry as of the last update on 2026-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.