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

Phoenix Residential Centers, Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1629467972

Phoenix Residential Centers, Inc is an Intellectual Disabilities Intermediate Care Facility in Painesville, Ohio. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12345 Meredith Ln
Painesville, OH 44077-9246
Phone: (440) 428-9082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X

Record details

NPI number1629467972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Jo Jaskela — Controller · (440) 428-9082
Other names Meredith Lane Family Home
NPI enumeratedJanuary 9, 2015
Last updated in NPPESJanuary 9, 2015
Mailing address1954 Hubbard Rd, Madison, OH 44057-2172

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