MENTOR HEALTHCARE, INC (NPI# 1790842755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790842755 |
| Entity Type | Organization |
| Organization Name | MENTOR HEALTHCARE, INC |
| Other Organization Name | ARIZONA MENTOR |
| Practice Address |
621 W Racine Loop Casa Grande AZ 85222-5111 |
| Mailing Address |
2700 N 3rd St Suite #4000 Phoenix AZ 85004-1129 |
| Practice Telephone | 5208360427 |
| 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 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 2477 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AS | 884206 | 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 |
| 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 |
621 W RACINE LOOP |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85222-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184093 | Hemali Paton | Pharmacist | 1741 E. Florence Blvd., Casa Grande, AZ 85222 | 2014-08-11 |
| 1023249893 | Krista Marie Nielsen | Nurse Practitioner | 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 | 2009-07-28 |
| 1639333479 | Villago Marketplace Dental Care PC | Dentist | 2876 N Pinal Ave, Suite 4, Casa Grande, AZ 85222 | 2008-07-10 |
| 1487811790 | Ashley Vander Weel | Dietitian, Registered | 351 N Peart Rd, Apt 325, Casa Grande, AZ 85222 | 2008-05-22 |
| 1205022787 | Linda C Cassidy | Registered Nurse | 2730 North Trekell Road, Casa Grande Union High School, Casa Grande, AZ 85222 | 2007-09-19 |
| 1104021476 | Jeremy Wade Cull | Dentist | 1876 E Sabin Drive Suite #18, Casa Grande, AZ 85222 | 2007-06-18 |
| 1841404852 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 467 East Dragon Springs Dr, Casa Grande, AZ 85222 | 2007-05-09 |
| 1013137827 | Namninder S Grn | Dentist | 1677 E Florence Blvd, #24, Casa Grande, AZ 85222 | 2007-04-26 |
| 1528189529 | Jewell Lavoo | Registered Nurse | 129 N Arizola Rd, Casa Grande, AZ 85222 | 2007-04-03 |
| 1922148089 | Martha Dawn Jones-baer | Registered Nurse | 1220 E. Kortsen Dr, Cactus Middle School, Casa Grande, AZ 85222 | 2007-02-07 |
| Find all providers in zip 85222 | ||||
| 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 |
|---|---|---|---|---|
| 1073158846 | Kewala Corporations | Community Based Residential Treatment Facility, Mental Illness | 556 W Mirage Loop, Casa Grande, AZ 85122-6133 | 2019-11-15 |
| 1417323122 | Serenity Health Care | Community Based Residential Treatment Facility, Mental Illness | 1106 N Pinal Ave, Casa Grande, AZ 85122-3302 | 2015-08-17 |
| 1174925424 | Darrell Lemont Ellis Jr. | Community Based Residential Treatment Facility, Mental Illness | 304 N Lincoln Ave, Casa Grande, AZ 85122-4634 | 2014-09-18 |
| 1528474533 | Mary Flanery | Community Based Residential Treatment Facility, Mental Illness | 1365 E 12th St, Casa Grande, AZ 85122-3694 | 2014-07-10 |
| 1598025934 | House of Hope | Community Based Residential Treatment Facility, Mental Illness | 1149 E 11th St, Casa Grande, AZ 85122-3609 | 2012-05-18 |
| 1740419670 | The Chalet House LLC | Community Based Residential Treatment Facility, Mental Illness | 2557 N Lupita Pl, Casa Grande, AZ 85222-1036 | 2009-07-14 |
| 1841356003 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 1668 E Melissa St, Casa Grande, AZ 85222-4742 | 2006-12-29 |
| 1427114743 | Mentor Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 8428 W. Royal Blackheath, Casa Grande, AZ 85223 | 2006-12-29 |
| 1225192107 | Horizon Health and Wellness, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2269 S Peart Rd, Casa Grande, AZ 85222 | 2006-12-21 |
| 1396195939 | House of Hope Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 1149 E 11th St, Casa Grande, AZ 85122-3609 | 2016-06-14 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85222 |
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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.