MENTOR HEALTHCARE, INC (NPI# 1649440546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649440546 |
| Entity Type | Organization |
| Organization Name | MENTOR HEALTHCARE, INC |
| Other Organization Name | ARIZONA MENTOR |
| Practice Address |
2700 N 3rd St Suite 4000 Phoenix AZ 85004-1129 |
| Practice Telephone | 6022009494 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |
| Authorized Official Name | ELIZABETH RODGERS, LCSW (DIRECTOR) |
| Authorized Official Telephone | 6022562012 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| 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 |
| 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 |
| Street Address |
2700 N 3RD ST SUITE 4000 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417921859 | Paul Charles Geimer | Physical Medicine & Rehabilitation | 2700 N 3rd St, Suite # 2005, Phoenix, AZ 85004-1129 | 2006-02-14 |
| 1093121600 | Nicole Marie Lyons | Nurse Practitioner | 2700 N 3rd St, Ste 3045, Phoenix, AZ 85004-1129 | 2014-07-02 |
| 1497176788 | Integrated Premier Group Ipg | Hospitalist | 2700 N 3rd St, Ste 3045, Phoenix, AZ 85004-1129 | 2014-01-03 |
| 1619304805 | Monica Yvette Munos | Nurse Practitioner | 2700 N 3rd St, Suite 3045, Phoenix, AZ 85004-1129 | 2013-10-02 |
| 1114152394 | National Mentor Healthcare, LLC | Community/Behavioral Health | 2700 N 3rd St, #4000, Phoenix, AZ 85004-1129 | 2009-05-18 |
| 1275752644 | Andrea Maria Johnston | Speech-Language Pathologist | 2700 N 3rd St, Suite 4000, Phoenix, AZ 85004-1129 | 2007-04-24 |
| 1629297080 | Camille Verdugo | Case Manager/Care Coordinator | 2700 N 3rd St, Ste. 4000, Phoenix, AZ 85004-1129 | 2007-04-24 |
| 1760509616 | Judy Mowry | Physical Therapist | 2700 N 3rd St, Suite 4000, Phoenix, AZ 85004 | 2007-03-24 |
| 1063595981 | Bonnie A Szymanski | Counselor | 2700 N 3rd St, Suite 2008, Phoenix, AZ 85004-1129 | 2006-10-23 |
| 1568550796 | Raymond Zamudio | Counselor | 2700 N 3rd St, Suite 2008, Phoenix, AZ 85004-1129 | 2006-10-11 |
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| 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 | 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] |
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| 1346860657 | Semper Fidelis Behavioral Health & Counseling, LLC | Community Based Residential Treatment Facility, Mental Illness | 3606 E Baseline Rd Unit 288, Phoenix, AZ 85042-9617 | 2020-04-16 |
| 1548889793 | Shea Home LLC | Community Based Residential Treatment Facility, Mental Illness | 10435 N 40th St, Phoenix, AZ 85028-4043 | 2020-04-08 |
| 1699394858 | Acome Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4509 E Acoma Dr, Phoenix, AZ 85032-4855 | 2020-04-08 |
| 1033748009 | Optimum Care of Arizona LLC | Community Based Residential Treatment Facility, Mental Illness | 717 E Harwell Rd, Phoenix, AZ 85042-6655 | 2020-04-02 |
| 1043846561 | Happy Haven Az LLC | Community Based Residential Treatment Facility, Mental Illness | 1110 W Hadley St, Phoenix, AZ 85007-3610 | 2020-03-16 |
| 1942835806 | Mercy Favor and Grace Social Services | Community Based Residential Treatment Facility, Mental Illness | 9431 W Sheridan St, Phoenix, AZ 85037-4435 | 2020-03-10 |
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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.