ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC. - NPI 1013187277 - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ

Q: What is Arizona Health Care Contract Management Services Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

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About Arizona Health Care Contract Management Services Inc. NPPES

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

ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC. (NPI 1013187277), doing business as State, is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Phoenix, Arizona and active in the NPI registry since March 2008. 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

NPI1013187277

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC.

Location Address3838 N CENTRAL AVE STE 1200Phoenix, AZ 85012-1997

Mailing Address3838 N Central Ave Ste 1200Phoenix, AZ 85012-1997 · (480) 646-6175 · Fax (617) 790-4271

Phone(480) 646-6175

Fax(617) 790-4271

Organization SubpartNo

Authorized OfficialMary Patricia Rodenberg-robertsVp & Sr Asst General Counsel · (952) 836-2234

Enumeration DateMarch 4, 2008

Last NPPES UpdateAugust 21, 2025

NPPES CertifiedAugust 21, 2025

✔ NPI 1013187277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in AZ · BH-2609

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

3838 N CENTRAL AVE STE 1200, Phoenix, AZ 85012

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Other Names 1

Doing Business AsState

Secondary Practice Location 1

Location 12022 W State AvePhoenix, AZ 85021-7838 · Phone (602) 246-9409

Other Identifiers 1

Medicaid930322AZ

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.

NATIONAL MENTOR HEALTHCARE, LLC

Community Based Residential Treatment Facility, Mental Illness