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NATIONAL MENTOR HEALTHCARE, LLC
NPI 1003049487
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

Active since September 01, 2009
3838 N CENTRAL AVE STE 1200, PHOENIX, AZ 85012(480) 646-6175(602) 567-2062 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2023, Mar 4, 2023 (2 updates tracked since 2023).

About National Mentor Healthcare, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATIONAL MENTOR HEALTHCARE, LLC (NPI 1003049487), doing business as Arizona Mentor- Evergreen, is a healthcare organization registered as a community based residential treatment facility, mental illness in Phoenix, Arizona and active in the NPI registry since September 2009. The organization maintains a secondary practice location in Phoenix and lists Mary Patricia Rodenberg-roberts, Vp & Sr Asst General Counsel, as its authorized official.

NPPES Registry Identity

NPI1003049487
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameNATIONAL MENTOR HEALTHCARE, LLC
Location Address3838 N CENTRAL AVE STE 1200Phoenix, AZ 85012-1997
Mailing Address3838 N Central Ave Ste 1200Phoenix, AZ 85012-1997 · (480) 646-6175 · Fax (602) 567-2062
Phone(480) 646-6175
Fax(602) 567-2062
Organization SubpartNo
Authorized OfficialMary Patricia Rodenberg-robertsVp & Sr Asst General Counsel · (952) 836-2234
Enumeration DateSeptember 1, 2009
Last NPPES UpdateAugust 21, 20252 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1003049487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in AZ · BH-3412
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3838 N CENTRAL AVE STE 1200, Phoenix, AZ 85012
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Other Names 1

Doing Business AsArizona Mentor- Evergreen

Secondary Practice Location 1

Location 19225 W Elm StPhoenix, AZ 85037-1003 · Phone (623) 877-0213 · Fax (623) 877-0239

Other Identifiers 1

Medicaid451471AZ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3838 N CENTRAL AVE STE 1200
PHOENIX, AZ 85012
Maricopa County (480) 646-6175
ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3838 N CENTRAL AVE STE 1200
PHOENIX, AZ 85012
Maricopa County (480) 646-6175
THE TUNGLAND COMPANY, LLC
Community/Behavioral Health
3838 N CENTRAL AVE STE 1200
PHOENIX, AZ 85012
Maricopa County (480) 646-6175
ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC.
Community Based Residential Treatment Facility, Mental Illness
3838 N CENTRAL AVE STE 1200
PHOENIX, AZ 85012
Maricopa County (480) 646-6175
THE TUNGLAND COMPANY, LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3838 N CENTRAL AVE STE 1200
PHOENIX, AZ 85012
Maricopa County (480) 646-6175
ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3838 N CENTRAL AVE STE 1200
PHOENIX, AZ 85012
Maricopa County (480) 646-6175
NATIONAL MENTOR HEALTH CARE LLC
Community Based Residential Treatment Facility, Mental Illness
3838 N CENTRAL AVE STE 1200
PHOENIX, AZ 85012
Maricopa County (480) 646-6175
NATIONAL MENTOR NETWORK, INC
Community Based Residential Treatment Facility, Mental Illness
3838 N CENTRAL AVE STE 1200
PHOENIX, AZ 85012
Maricopa County (480) 646-6175

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is National Mentor Healthcare, LLC's NPI number?

The NPI number for National Mentor Healthcare, LLC is 1003049487. It was assigned to this organization in the NPPES registry on September 1, 2009. The provider is doing business as Arizona Mentor- Evergreen.

Where is National Mentor Healthcare, LLC located?

National Mentor Healthcare, LLC is located at 3838 N Central Ave Ste 1200, Phoenix, AZ 85012. The listed phone number is (480) 646-6175.

What is National Mentor Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for National Mentor Healthcare, LLC was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.