PHOENIX HOUSING FOUNDATION, LIMITED
NPI 1194469833
Community Based Residential Treatment Facility, Mental Illness in Milwaukee, WI

NPI Status: Active since April 27, 2022

Contact Information

423 W CENTER ST
MILWAUKEE, WI
ZIP 53212
Phone: (262) 349-8560

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  • Community Based Residential Treatment Fa...

About PHOENIX HOUSING FOUNDATION, LIMITED

This page provides the complete NPI Profile along with additional information for Phoenix Housing Foundation, Limited, a provider established in Milwaukee, Wisconsin operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1194469833 assigned on April 2022. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Royale Dejun Reasby (Ceo)

NPI
1194469833
Provider Name
PHOENIX HOUSING FOUNDATION, LIMITED
Entity Type
Organization
Location Address
423 W CENTER ST MILWAUKEE, WI 53212
Location Phone
(262) 349-8560
Mailing Address
4701 N 50TH ST MILWAUKEE, WI 53218
Mailing Phone
(414) 215-8477
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-27-2022
Last Update Date
04-27-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251J00000XAgencies

Nursing Care

 
2251S00000XAgencies

Community/Behavioral Health

 
3253Z00000XAgencies

In Home Supportive Care

 
4261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
5261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
6261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 
7310400000XNursing & Custodial Care Facilities

Assisted Living Facility

 
83104A0625XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Mental Illness

 
93104A0630XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Behavioral Disturbances

 
10311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

 
11320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

 
12320700000XResidential Treatment Facilities

Residential Treatment Facility, Physical Disabilities

 
13342000000XTransportation Services

Transportation Network Company

 
14374U00000XNursing Service Related Providers

Home Health Aide

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROYALE DEJUN REASBY

Authorized Official Title
CEO
Authorized Official Phone
(414) 397-7926

Reviews for PHOENIX HOUSING FOUNDATION, LIMITED

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194469833
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184861886
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 8 + 6 + 1 + 8 + 8 + 6 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1194469833 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760062236PHOENIX RISING PNCC LLC
Organization
Case Management423 W CENTER ST
MILWAUKEE, WI 53212
(262) 349-8560
1639919897MS. RIVA MCLAIN LPN
Individual
Case Manager/Care Coordinator423 W CENTER ST
MILWAUKEE, WI 53212
(414) 881-4094

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194469833, enumerated in the NPI registry as an "organization" on April 27, 2022

The provider is located at 423 W Center St Milwaukee, Wi 53212 and the phone number is (262) 349-8560

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on April 27, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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