Phoenix Recovery Center Inc
NPI 1417006503 · Substance Use Disorder Rehabilitation Clinic/Center · Edgewood, MD
Phoenix Recovery Center Inc is a Substance Use Disorder Rehabilitation Clinic/Center organization in Edgewood, MD (NPI 1417006503).
Provider details
- NPI number
- 1417006503
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Kinneberg, Director(410) 671-7374
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2020-06-10
- Certified
- 2020-06-10
Frequently asked questions
- What is Phoenix Recovery Center Inc's NPI number?
- Phoenix Recovery Center Inc's National Provider Identifier (NPI) is 1417006503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Recovery Center Inc?
- Phoenix Recovery Center Inc is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Phoenix Recovery Center Inc located?
- Phoenix Recovery Center Inc's practice location on file with NPPES is 107 Edgewood Rd, Edgewood, MD 21040.
- What is Phoenix Recovery Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Recovery Center Inc is (410) 671-7374.
- Who is the authorized official for Phoenix Recovery Center Inc?
- The authorized official listed on Phoenix Recovery Center Inc's NPPES record is Robert Kinneberg, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Recovery Center Inc's NPI active?
- Yes — Phoenix Recovery Center Inc's NPI (1417006503) is active in the NPPES registry as of the last update on 2020-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.