NATIONAL MENTOR HEALTHCARE LLC (NPI# 1558691840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558691840 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE LLC |
| Other Organization Name | ARIZONA MENTOR |
| Practice Address |
2700 N 3rd St Ste 4000 Phoenix AZ 85004-1173 |
| Practice Telephone | 6025672012 |
| Practice Fax Number | 6025672062 |
| Mailing Telephone | 6025672012 |
| Mailing Fax Number | 6025672062 |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |
| Authorized Official Name | 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 | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Arizona Mentor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055980 | National Mentor Healthcare LLC | Intermediate Care Facility, Mentally Retarded | 1275 N Rainbow Loop, Lecanto, FL 34461-8893 | 2018-12-28 |
| 1689098030 | National Mentor Healthcare LLC | Community Based Residential Treatment Facility, Mental Illness | 12502 N 85th Ln, Peoria, AZ 85381-5160 | 2014-02-05 |
| 1598005423 | National Mentor Healthcare LLC | Custodial Care Facility | 6032 W 7th Ave, Gary, IN 46406-1314 | 2013-03-01 |
| 1932485174 | National Mentor Healthcare LLC | Community/Behavioral Health | 400 Fisher Rd, Brevard, NC 28712-3895 | 2011-11-02 |
| 1588940720 | National Mentor Healthcare LLC | Community/Behavioral Health | 601 Greenville Hwy, Brevard, NC 28712-9414 | 2011-11-02 |
| 1578872289 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 820 E Tipton St, Seymour, IN 47274-3524 | 2010-09-29 |
| 1528375896 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10129 Penrith Dr, Indianapolis, IN 46229-1397 | 2010-09-08 |
| 1437466703 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 116 S Carroll Ave, Michigan City, IN 46360-5341 | 2010-09-08 |
| 1982910675 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9740 E 21st St, Indianapolis, IN 46229-1708 | 2010-08-19 |
| 1457667164 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4005 Texas Pike, Spencer, IN 47460-7158 | 2010-08-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | National Mentor Healthcare LLC | The Mentor Network, 313 Congress St 5th Fl, Boston, Massachusetts 02210 |
| Street Address |
2700 N 3RD ST STE 4000 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114070752 | National Mentor Healthcare | Day Training, Developmentally Disabled Services | 2700 N 3rd St Ste 4000, Phoenix, AZ 85004-1173 | 2007-01-18 |
| 1558510719 | National Mentor Healthcare, LLC | Community Based Residential Treatment Facility, Mental Illness | 2700 N 3rd St Ste 4000, Phoenix, AZ 85004-1173 | 2008-09-12 |
| 1578764932 | Kelly Jenkins | Speech-Language Pathologist | 2700 N 3rd St Ste 4000, Phoenix, AZ 85004-1173 | 2007-05-31 |
| 1518168426 | Bethzaida Figueroa | Occupational Therapist | 2700 N 3rd St Ste 4000, Phoenix, AZ 85004-1173 | 2007-05-29 |
| 1932300860 | Karen Hanafin | Occupational Therapist | 2700 N 3rd St Ste 4000, Phoenix, AZ 85004-1173 | 2007-05-29 |
| 1164640959 | Alison C. Kozel | Speech-Language Pathologist | 2700 N 3rd St Ste 4000, Phoenix, AZ 85004-1173 | 2007-04-24 |
| 1215156674 | Connie Hunt | Speech-Language Pathologist | 2700 N 3rd St Ste 4000, Phoenix, AZ 85004-1173 | 2007-04-24 |
| 1912123605 | Darwyn Bartsch | Physical Therapist | 2700 N 3rd St Ste 4000, Phoenix, AZ 85004-1173 | 2007-04-18 |
| 1962543371 | Remaz Rehab | Home Health | 2700 N 3rd St Ste 4000, Phoenix, AZ 85004-1173 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475144 | Best Self LLC | Clinic/Center | 10000 N 31st Ave Ste C100-128, Phoenix, AZ 85051-1356 | 2020-10-24 |
| 1164036935 | Carmen L. Lucia Psyd LLC | Clinic/Center | 15215 S 48th St Ste 154, Phoenix, AZ 85044-9139 | 2020-08-31 |
| 1366054694 | Integrative Counseling L.L.C. | Clinic/Center | 2211 E Highland Ave Ste 130, Phoenix, AZ 85016-4867 | 2020-08-18 |
| 1225664881 | Julie Morton Lcsw-c, LLC | Clinic/Center | 13604 Bardon Rd, Phoenix, MD 21131-1518 | 2020-03-16 |
| 1922569805 | Uptown Psychiatry LLC | Clinic/Center | 1130 E Missouri Ave Ste 580, Phoenix, AZ 85014-2729 | 2019-03-25 |
| 1982163549 | Amore Aware LLC | Clinic/Center | 6900 E Princess Dr Unit 1214, Phoenix, AZ 85054-4110 | 2019-03-13 |
| 1356805816 | Arizonas New Hope | Clinic/Center | 10000 N 31st Ave Ste D304g, Phoenix, AZ 85051-9582 | 2019-01-29 |
| 1306331509 | Native American Connections | Clinic/Center | 4520 N Central Ave Ste 380, Phoenix, AZ 85012-7815 | 2018-06-29 |
| 1194135152 | Connectionsaz, LLC | Clinic/Center | 1201 S 7th Ave Ste 150, Phoenix, AZ 85007-4075 | 2014-04-30 |
| 1770888646 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1601 W Desert Cove Ave, Phoenix, AZ 85029-5023 | 2011-01-24 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on NATIONAL MENTOR HEALTHCARE LLC.
| 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.