MENTOR HEALTHCARE, INC (NPI# 1609933662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609933662 |
| Entity Type | Organization |
| Organization Name | MENTOR HEALTHCARE, INC |
| Other Organization Name | ARIZONA MENTOR |
| Practice Address |
7223 S 71st Ln Laveen AZ 85339-2620 |
| Mailing Address |
2700 N 3rd St Suite #4000 Phoenix AZ 85004-1129 |
| Practice Telephone | 6022373916 |
| Mailing Telephone | 6022009494 |
| Mailing Fax Number | 6025672062 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOEL TEMPLE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6022009494 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 2279 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 156563 | 05 |
| Other Name | Type Code |
|---|---|
| Arizona Mentor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790842755 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 621 W Racine Loop, Casa Grande, AZ 85222-5111 | 2007-01-02 |
| 1639236227 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 9287 W Belvoir Rd, Phoenix, AZ 85037-4228 | 2007-01-02 |
| 1710044490 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 3046 E Kingbird Pl, Chandler, AZ 85249-5614 | 2007-01-02 |
| 1154488112 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 9131 W Cambridge Ave, Phoenix, AZ 85037-4255 | 2007-01-02 |
| 1205992484 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 4823 W Gwen St, Laveen, AZ 85339-4201 | 2006-12-29 |
| 1194881417 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 1813 W Curry Dr, Chandler, AZ 85224-1209 | 2006-12-29 |
| 1760548093 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 18244 N 39th Dr, Glendale, AZ 85308-1808 | 2006-12-29 |
| 1710043062 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 1316 E Verlea Dr, Tempe, AZ 85282-2601 | 2006-12-29 |
| 1962568147 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 7561 E Keats Ave, Mesa, AZ 85209-6208 | 2006-12-29 |
| 1841356003 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 1668 E Melissa St, Casa Grande, AZ 85222-4742 | 2006-12-29 |
| Street Address |
7223 S 71ST LN |
| City | LAVEEN |
| State | AZ |
| Zip Code | 85339-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351611 | Nationwide Vision Center, LLC | Technician/Technologist | 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 | 2019-11-19 |
| 1164074282 | Alvis Lee Robertson | Counselor | 3850 N. 16th St. E. Beltline Rd., Laveen, AZ 85339 | 2019-07-09 |
| 1912493933 | Kristine Robles | Specialist/Technologist | 6501 W Alta Vista Rd, Laveen, AZ 85339 | 2018-07-02 |
| 1366968521 | Care Line, LLC | Home Health | 5818 West Pedro Lane, Laveen, AZ 85339 | 2017-08-19 |
| 1881119550 | Calvary Home Care Services Inc | Day Training, Developmentally Disabled Services | 4360 W. Alta Vista Rd, Laveen, AZ 85339 | 2017-08-03 |
| 1295284354 | Brian Hiapo Jr. | Assistant, Podiatric | 6170 S 51st Ave Ste 103, Laveen, AZ 85339 | 2016-09-29 |
| 1962850073 | Laveen Pediatric Dental Partners, LLP | Dentist | 5235 W. Baseline Rd, Ste 187, Laveen, AZ 85339 | 2016-05-31 |
| 1619353992 | Tiffany Lee | Specialist/Technologist | 7034 S. 64ave, Laveen, AZ 85339 | 2015-08-10 |
| 1558759068 | Makoto Wakamori | Counselor | 3850 North 16th Street Laveen Az 85339, Laveen, AZ 85339 | 2015-01-06 |
| 1568850329 | Gila River Health Care Corporation | Community Based Residential Treatment Facility, Mental Illness | 142226 S 53rd Ave, Laveen, AZ 85339 | 2015-01-02 |
| Find all providers in zip 85339 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879950 | C&j Care Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4418 W Darrel Rd, Laveen, AZ 85339-6222 | 2020-07-31 |
| 1619590478 | Mary Group Home LLC | Community Based Residential Treatment Facility, Mental Illness | 8025 S 47th Ln, Laveen, AZ 85339-2393 | 2020-05-27 |
| 1356964753 | Mary Group Home LLC | Community Based Residential Treatment Facility, Mental Illness | 8021 S 47th Ln # 169, Laveen, AZ 85339-2393 | 2020-05-20 |
| 1629699152 | A Sunny Day Adult Living Home | Community Based Residential Treatment Facility, Mental Illness | 4319 W Park St, Laveen, AZ 85339-2203 | 2020-05-06 |
| 1578184743 | Ready4life Behavioral Health & Counseling LLC | Community Based Residential Treatment Facility, Mental Illness | 5136 W St Kateri Dr, Laveen, AZ 85339-6928 | 2020-04-29 |
| 1841826260 | Martha's Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 7008 W Carter Rd, Laveen, AZ 85339-7055 | 2020-03-17 |
| 1952940330 | Ready4life Behavioral Health & Counseling LLC | Community Based Residential Treatment Facility, Mental Illness | 5621 W Winston Dr, Laveen, AZ 85339-5259 | 2020-01-02 |
| 1952867335 | Beautiful Beginnings Assisted Living Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 5325 W Novak Way, Laveen, AZ 85339-2996 | 2019-02-11 |
| 1043776420 | Beautiful Beginnings Assisted Living Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 5329 W Novak Way, Laveen, AZ 85339-2996 | 2019-02-11 |
| 1083119796 | Beautiful Beginnings Assisted Living Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 5427 W Novak Way, Laveen, AZ 85339-2998 | 2018-03-26 |
| Find all providers in LAVEEN | ||||
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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.