OrganizationActive
Phoenix Group Homes, Inc.
NPI 1811100282 · Lodging Provider · Maplewood, MN
Provider details
- NPI number
- 1811100282
- Entity type
- Organization
- Primary specialty
- Lodging ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Wendy Sparks, Assistant Director(651) 230-0849
- License
- 1037126-2-DCFC (MN)
Specialties & taxonomies
Other Service Providers
Practice location
2371 Highwood Ave E
Maplewood, MN 55119-5801
Phone: (651) 773-1142
Fax: (651) 773-5894
Approximate (ZIP-level) locationGet directions
Mailing address
1011 Interlachen Pkwy
Woodbury, MN 55125-8852
Registry dates
- Enumerated
- 2007-05-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.