Phoenix Outdoor
NPI 1750522058 · Children's Substance Abuse Rehabilitation Facility · Leicester, NC
Phoenix Outdoor is a Children's Substance Abuse Rehabilitation Facility organization in Leicester, NC (NPI 1750522058).
Provider details
- NPI number
- 1750522058
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Karen Nilsen, Office Assistant(828) 668-7590
- License
- MHL-011-279 (NC)
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
17 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
- 2009-03-16
- Last updated
- 2009-03-16
Frequently asked questions
- What is Phoenix Outdoor's NPI number?
- Phoenix Outdoor's National Provider Identifier (NPI) is 1750522058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Outdoor?
- Phoenix Outdoor is classified in the NPPES registry as Children's Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Phoenix Outdoor located?
- Phoenix Outdoor's practice location on file with NPPES is 631 Willow Creek Rd, Leicester, NC 28748-5646.
- What is Phoenix Outdoor's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Outdoor is (828) 683-7718.
- Who is the authorized official for Phoenix Outdoor?
- The authorized official listed on Phoenix Outdoor's NPPES record is Karen Nilsen, Office Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Outdoor's NPI active?
- Yes — Phoenix Outdoor's NPI (1750522058) is active in the NPPES registry as of the last update on 2009-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.