Phoenix House Child Agency
NPI 1053586065ActiveOrganization· Custodial Care Facility· Waxhaw, NC
Custodial Care Facility in Waxhaw, North Carolina, registered in NPPES in April 2008. The authorized official on file is Leslie Taylor, Social Worker.
Overview
| NPI | 1053586065 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 30, 2008 |
| Last updated in NPPES | Apr 30, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|