Phoenix Residential Centers, Inc.
NPI 1629467972 · Intellectual Disabilities Intermediate Care Facility · Painesville, OH
Phoenix Residential Centers, Inc. is a Intellectual Disabilities Intermediate Care Facility organization in Painesville, OH (NPI 1629467972).
Provider details
- NPI number
- 1629467972
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Jo Jaskela, Controller(440) 428-9082
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Other names (DBA / former)
- Doing business as
- Meredith Lane Family Home
Registry dates
- Enumerated
- 2015-01-09
- Last updated
- 2015-01-09
Frequently asked questions
- What is Phoenix Residential Centers, Inc.'s NPI number?
- Phoenix Residential Centers, Inc.'s National Provider Identifier (NPI) is 1629467972, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Residential Centers, Inc.?
- Phoenix Residential Centers, Inc. is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Phoenix Residential Centers, Inc. located?
- Phoenix Residential Centers, Inc.'s practice location on file with NPPES is 12345 Meredith Ln, Painesville, OH 44077-9246.
- What is Phoenix Residential Centers, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Phoenix Residential Centers, Inc. is (440) 428-9082.
- Who is the authorized official for Phoenix Residential Centers, Inc.?
- The authorized official listed on Phoenix Residential Centers, Inc.'s NPPES record is Mary Jo Jaskela, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Residential Centers, Inc.'s NPI active?
- Yes — Phoenix Residential Centers, Inc.'s NPI (1629467972) is active in the NPPES registry as of the last update on 2015-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.