MENTOR HEALTHCARE, INC (NPI# 1710044490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710044490 |
| Entity Type | Organization |
| Organization Name | MENTOR HEALTHCARE, INC |
| Other Organization Name | ARIZONA MENTOR |
| Practice Address |
3046 E Kingbird Pl Chandler AZ 85249-5614 |
| Mailing Address |
2700 N 3rd St Suite #4000 Phoenix AZ 85004-1129 |
| Practice Telephone | 4808572678 |
| 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 | 2777 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 122252 | 05 |
| Other Name | Type Code |
|---|---|
| Arizona Mentor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609933662 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 7223 S 71st Ln, Laveen, AZ 85339-2620 | 2007-01-02 |
| 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 |
| 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 |
3046 E KINGBIRD PL |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85249-5614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124522297 | Bellissimo Dentistry, Pllc | Dentist | 2815 E. Ocotillo Rd., Ste. #3, Chandler, AZ 85249 | 2018-03-22 |
| 1518466903 | Arms of Love Assisted Living Home LLC | Assisted Living Facility | 6086 S Pearl Drive, Chandler, AZ 85249 | 2018-02-12 |
| 1891232120 | Spencer D Weed Dds Pllc | Dentist | 11631 E Navajo Dr, Chandler, AZ 85249 | 2017-01-25 |
| 1760936355 | Fernitrice Dahan Hunter | Contractor | 4204 East Westchester Dr., Chandler, AZ 85249 | 2016-08-11 |
| 1992053524 | Katherine Conley Factor | Physical Therapist | 1372 East Zion Way, Chandler, AZ 85249 | 2012-08-29 |
| 1790064152 | Better Horizons Behavioaral Health | Psychiatric Residential Treatment Facility | 2184 E. Firestone Dr, Chandler, AZ 85249 | 2011-08-16 |
| 1316262561 | Harshadray M. Patel | Pharmacist | 1394 E Las Colinas Drive, Chandler, AZ 85249 | 2010-03-31 |
| 1326361825 | Laura Louise Robertson | Specialist/Technologist | 5990 S. Val Vista Rd, Chandler, AZ 85249 | 2010-03-11 |
| 1043545973 | James Edward Palmateer | Pharmacist | 855 East Riggs Rd, Chandler, AZ 85249 | 2009-10-09 |
| 1528255262 | Steven R Otto | Legal Medicine | 1555 E. Grand Canyon Dr., Chandler, AZ 85249 | 2007-09-26 |
| Find all providers in zip 85249 | ||||
| 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 |
|---|---|---|---|---|
| 1598387490 | Serenity Residential Homes, LLC | Community Based Residential Treatment Facility, Mental Illness | 101 W Hackberry Dr, Chandler, AZ 85248-4012 | 2020-05-13 |
| 1679118848 | Jf Residential LLC | Community Based Residential Treatment Facility, Mental Illness | 2225 W Frye Rd, Chandler, AZ 85224-6477 | 2019-11-12 |
| 1073175048 | A Brighter Day Living Center LLC | Community Based Residential Treatment Facility, Mental Illness | 264 N Exeter St, Chandler, AZ 85225-4657 | 2019-06-30 |
| 1003314428 | Victory Manor LLC. | Community Based Residential Treatment Facility, Mental Illness | 1041 S Yucca Pl, Chandler, AZ 85286-0982 | 2018-01-31 |
| 1770931966 | Jussamal Manor 11 | Community Based Residential Treatment Facility, Mental Illness | 641 S. Karen Dr., Chandler, AZ 85224 | 2016-05-27 |
| 1598124075 | Pastalino Manor LLC 3 | Community Based Residential Treatment Facility, Mental Illness | 2264 W Olive Way, Chandler, AZ 85248-4184 | 2016-02-12 |
| 1881001832 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 2204 E Firestone Dr, Chandler, AZ 85249-4636 | 2014-07-22 |
| 1487923439 | Winding Woods Manor L,l.c. | Community Based Residential Treatment Facility, Mental Illness | 3691 S Ashley Pl, Chandler, AZ 85286-2618 | 2011-12-20 |
| 1568740801 | Jussamal Manor | Community Based Residential Treatment Facility, Mental Illness | 3047 E Kingbird Pl, Chandler, AZ 85286-5615 | 2011-08-03 |
| 1396057600 | Odel Burnes Sr. | Community Based Residential Treatment Facility, Mental Illness | 3268 E Goldfinch Way, Chandler, AZ 85286-5732 | 2010-07-02 |
| Find all providers in CHANDLER | ||||
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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.