Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Management LLC

Organization Developmentally Disabled Services Day Training Agency · NPI 1154714897

Phoenix Management LLC is a Developmentally Disabled Services Day Training Agency in Chubbuck, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10991 Deerridge Dr
Chubbuck, ID 83202
Phone: (208) 317-3625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X (ID)

Record details

NPI number1154714897
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Merinda Halladay — Owner/Administrator · (208) 317-3625
NPI enumeratedMarch 5, 2015
Last updated in NPPESMarch 5, 2015
Mailing address10991 Deerridge Dr., Chubbuck, ID 83202

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