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

Phoenix Residential LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1629815493

Phoenix Residential LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Toledo, Ohio. Registered with an NPI since 2024.

In the registry since
2024
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

2200 W Alexis Rd Ste B
Toledo, OH 43613-2100
Phone: (567) 868-7810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1629815493
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Robinson — Ceo · (567) 868-7810
NPI enumeratedJuly 10, 2024
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing addressPo Box 146, Holland, OH 43528-0146

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