Phoenix Residence, Inc.
NPI 1417053893ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Saint Paul, MN
Intermediate Care Facility, Intellectual Disabilities in Saint Paul, Minnesota, registered in NPPES in September 2006. The authorized official on file is Darlene M. Scott, President/Ceo.
Overview
| NPI | 1417053893 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 15, 2006 |
| Last updated in NPPES | Jul 1, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | 1032512 1RS | MN |
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 |
|---|
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