PHOENIX LLC
NPI 1518793751
Community/Behavioral Health in Council Bluffs, IA

NPI Status: Active since September 13, 2024

Contact Information

2226 5TH AVE
COUNCIL BLUFFS, IA
ZIP 51501
Phone: (402) 378-5755

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  • Organization
  • Community/Behavioral Health

About PHOENIX LLC

This page provides the complete NPI Profile along with additional information for Phoenix Llc, a provider established in Council Bluffs, Iowa operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1518793751 assigned on September 2024. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Joquana Shantay Goynes (Ceo)

NPI
1518793751
Provider Name
PHOENIX LLC
Entity Type
Organization
Location Address
2226 5TH AVE COUNCIL BLUFFS, IA 51501
Location Phone
(402) 378-5755
Mailing Address
2226 5TH AVE COUNCIL BLUFFS, IA 51501
Mailing Phone
(402) 378-5755
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-13-2024
Last Update Date
09-13-2024
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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/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

JOQUANA SHANTAY GOYNES

Authorized Official Title
CEO
Authorized Official Phone
(402) 378-5755

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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.
1518793751
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25281496710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 4 + 9 + 6 + 7 + 1 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1518793751 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356938146PHOENIX LLC
Organization
Community/Behavioral Health2226 5TH AVE
COUNCIL BLUFFS, IA 51501
(402) 378-5755

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518793751, enumerated in the NPI registry as an "organization" on September 13, 2024

The provider is located at 2226 5th Ave Council Bluffs, Ia 51501 and the phone number is (402) 378-5755

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on September 13, 2024. 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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