Organization · Type 2 NPI
Phoenix Nest Home, Inc
Emotionally Disturbed Childrens' Residential Treatment Facility · Ruskin, FL
Practice location
10203 Count Fleet Dr
Ruskin, FL 33573-6774
Fax (813) 448-1237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider | 174200000X | None listed |
| Lodging Provider | 177F00000X | None listed |
| Voluntary or Charitable Agency | 251V00000X | None listed |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Another provider at this address
About NPI 1669313003
Phoenix Nest Home, Inc's National Provider Identifier is 1669313003, issued on Apr 1, 2026. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Ruskin, FL. The record was last updated on Apr 1, 2026.