NATIONAL MENTOR HEALTHCARE (NPI# 1245494178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245494178 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE |
| Other Organization Name | ARIZONA MENTOR |
| Practice Address |
15032 N 37th Ave Phoenix AZ 85053 |
| Mailing Address |
2700 N 3rd St Suite 4000 Phoenix AZ 85004-9823 |
| Practice Telephone | 6025674971 |
| Practice Fax Number | 6022770803 |
| Mailing Telephone | 6025672012 |
| Mailing Fax Number | 6022770803 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | MS. ELIZABETH RODGERS (DIRECTOR) |
| Authorized Official Telephone | 6025672012 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | ALH-6684 | AZ | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Arizona Mentor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861607186 | National Mentor Healthcare | Case Management | 4150 Freidrich Ln Bldg N, Suite G, Austin, TX 78744-1800 | 2007-05-11 |
| 1114070752 | National Mentor Healthcare | Day Training, Developmentally Disabled Services | 2700 N 3rd St Ste 4000, Phoenix, AZ 85004-1173 | 2007-01-18 |
| 1639220619 | National Mentor Healthcare | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1285 Flamingo Dr, Lantana, FL 33462-1507 | 2007-01-16 |
| 1639524606 | National Mentor Healthcare | Residential Treatment Facility, Emotionally Disturbed Children | 80 Cottontail Ln, Ste 330, Somerset, NJ 08873-1100 | 2016-04-27 |
| 1093088510 | National Mentor Healthcare | Case Management | 4150 Freidrich Ln Bldg N, Suite G, Austin, TX 78744-1800 | 2012-02-14 |
| 1851604599 | National Mentor Healthcare | Community/Behavioral Health | 7 Oak Branch Dr Ste C, Greensboro, NC 27407-2392 | 2010-07-23 |
| 1275844680 | National Mentor Healthcare | Community/Behavioral Health | 2055 Wood St, Suite 118, Sarasota, FL 34237-7903 | 2010-06-30 |
| 1083730477 | National Mentor Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2007-03-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | National Mentor HealthCare Inc. | 313 Congress Street, Boston, Massachusetts 02210 |
| North Carolina Corporations | National Mentor Healthcare Inc. | 2 South Salisbury Street, Raleigh, NC 27601 |
| Virginia Business Entities | National Mentor Healthcare LLC | The Mentor Network, 313 Congress St 5th Fl, Boston, Massachusetts 02210 |
| Indiana Business Entities | NATIONAL MENTOR HEALTHCARE, INC. | 313 Congress St, Boston, MA 02210 |
| Oklahoma Business Registrations | NATIONAL MENTOR HEALTHCARE, INC. | 313 Congress St, Boston, MA 02210 |
| Oklahoma Business Registrations | NATIONAL MENTOR HEALTHCARE, LLC | 313 Congress St., Boston, MA 02210 |
| Indiana Business Entities | NATIONAL MENTOR HEALTHCARE, LLC | 313 Congress St, 5th Floor, Boston, MA 02210 |
| Street Address |
15032 N 37TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871065615 | Valley Addiction & Mental Health Services LLC | Nurse Practitioner | 16845 N. 29th Ave, Ste 1-211, Phoenix, AZ 85053 | 2018-12-18 |
| 1417439100 | Amanda M Sherwin | Dietitian, Registered | 15640 N 28h Drive, Phoenix, AZ 85053 | 2018-08-30 |
| 1568970135 | Sage Counseling, Inc. | Community/Behavioral Health | 2734 W Bell Rd., #1385 & 1390, Phoenix, AZ 85053 | 2018-01-17 |
| 1366966434 | Penny L Reamer | Registered Nurse | 17624 N. 31st Ave., Phoenix, AZ 85053 | 2017-08-01 |
| 1043749302 | Jacob Stephen Lawrence | Occupational Therapy Assistant | 3116 W. Hartford Dr., Phoenix, AZ 85053 | 2017-06-08 |
| 1770022923 | Horizon Dental Group West Valley | Dentist | 4025 W. Bell Road, Suite 20, Phoenix, AZ 85053 | 2017-02-21 |
| 1235594938 | Linda Thi Trinh | Optometrist | 16020 North 35th Ave Suite #2, Phoenix, AZ 85053 | 2015-12-22 |
| 1003230301 | Continuum Group West, LLC. | Clinic/Center | 3710 W Greenway Rd, Suite 104, Phoenix, AZ 85053 | 2014-02-07 |
| 1831539410 | Michelle Lea Byers | Nurse Practitioner | 17624 North 31st Ave, Phoenix, AZ 85053 | 2013-06-27 |
| 1437446580 | Candace Faith Gershkovich | Dentist | 4235 W. Thunderbird Rd, Phoenix, AZ 85053 | 2011-07-08 |
| Find all providers in zip 85053 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656651 | Serenity Home Care LLC | Residential Treatment Facility, Physical Disabilities | 6858 S 19th St, Phoenix, AZ 85042-5770 | 2020-10-10 |
| 1356853915 | Pastalino Manor 4 | Residential Treatment Facility, Physical Disabilities | 1421 E Maldonado Dr, Phoenix, AZ 85042-5602 | 2017-11-03 |
| 1386969947 | San Judas Group Home | Residential Treatment Facility, Physical Disabilities | 5116 S 11th Ave, Phoenix, AZ 85041-2363 | 2010-04-07 |
| 1164629333 | Angel Care Home | Residential Treatment Facility, Physical Disabilities | 2231 N 38th St, Phoenix, AZ 85008-3012 | 2007-06-29 |
| 1033564042 | Arizona Therapy Associates, LLC | Residential Treatment Facility, Physical Disabilities | 18444 N 25th Ave, Suite 420-712, Phoenix, AZ 85023-1261 | 2016-04-27 |
| 1558706515 | One Tree Inc | Residential Treatment Facility, Physical Disabilities | 2423 W Dunlap Ave, Phoenix, AZ 85021-2830 | 2013-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1497385892 | Serenity Home Care LLC | Residential Treatment Facility, Physical Disabilities | 4451 W St Anne Ave, Laveen, AZ 85339-6232 | 2020-01-24 |
| 1023658127 | Carefree Manor Assisted Living LLC | Residential Treatment Facility, Physical Disabilities | 7886 E Breathless Dr, Carefree, AZ 85377 | 2020-01-07 |
| 1497234710 | Sampaguita D. Maglalang | Residential Treatment Facility, Physical Disabilities | My Home Care Adult Assisted Living Facility, LLC., 2607 West Curry Street, Chandler, AZ 85224-1040 | 2018-08-08 |
| 1326533407 | Neuro Rehabcare Scottsdale - Az LLC | Residential Treatment Facility, Physical Disabilities | 7480 E Camino Santo, Scottsdale, AZ 85260-3905 | 2018-06-29 |
| 1770009219 | Neuro Rehabcare of The Valley - Az LLC | Residential Treatment Facility, Physical Disabilities | 8307 W Misty Willow Ln, Peoria, AZ 85383-1511 | 2017-08-16 |
| 1184150484 | Ndg Adult Care Home LLC | Residential Treatment Facility, Physical Disabilities | 1106 W 9th St, Tempe, AZ 85281-5304 | 2017-05-04 |
| 1194198697 | Amanda Ellis | Residential Treatment Facility, Physical Disabilities | 381 East Brook Street, San Tan Valley, AZ 85140 | 2015-11-05 |
| 1447658943 | Moses Behavioral Care | Residential Treatment Facility, Physical Disabilities | 17622 W Port Royale Ln, Surprise, AZ 85388-7792 | 2014-12-15 |
| 1134529282 | Marhaba Home Care LLC | Residential Treatment Facility, Physical Disabilities | 15244 W Watson Ln, Surprise, AZ 85379-7040 | 2014-08-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.