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Contact Information

PHOENIX SUPPORTS, LLC
1005 21ST ST SE STE B
RIO RANCHO, NM87124-4030
 Phone: 505-353-2061
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for PHOENIX SUPPORTS, LLC

NPI # 1053020123
LBN Legal business name PHOENIX SUPPORTS, LLC
Authorized official RAQUEL GUZMAN VEGA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2022
Last updated 06/13/2025 - About 12 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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