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

Phoenix Nest Home, Inc

Organization Meals Provider · NPI 1669313003

Phoenix Nest Home, Inc is a Meals Provider in Ruskin, Florida. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10203 Count Fleet Dr
Ruskin, FL 33573-6774
Phone: (813) 843-4645
Fax: (813) 448-1237
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X
Meals Provider Taxonomy 174200000X
Lodging Provider Taxonomy 177F00000X
Voluntary or Charitable Agency Taxonomy 251V00000X

Record details

NPI number1669313003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Anioce-Andre — Clinical Director · (813) 843-4645
NPI enumeratedApril 1, 2026
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing address10203 Count Fleet Dr, Ruskin, FL 33573-6774