MENTOR HEALTHCARE, INC
NPI 1609933662
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ
- Organization
- Community Based Residential Treatment Fa...
About MENTOR HEALTHCARE, INC
This page provides the complete NPI Profile along with additional information for Mentor Healthcare, Inc, a provider established in Phoenix, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1609933662 assigned on January 2007. The practitioner's primary taxonomy code is 320800000X with license number 2279 (AZ). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mary Patricia Rodenberg-roberts (Vp & Sr Asst General Counsel)
- NPI
- 1609933662 Verify this NPI
- Provider Name
- MENTOR HEALTHCARE, INC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 3838 N CENTRAL AVE STE 1200 PHOENIX, AZ 85012
- Location Phone
- (480) 646-6175
- Location Fax
- (617) 790-4271
- Mailing Address
- 3838 N CENTRAL AVE STE 1200 PHOENIX, AZ 85012
- Mailing Phone
- (480) 646-6175
- Mailing Fax
- (617) 790-4271
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-02-2007
- Last Update Date
- 08-21-2025
- Code Navigator
Location Map
Secondary Locations
- 7223 S 71st Ln
Laveen, AZ 85339
(602) 237-3916
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- License No.
- 2279
- License State
- AZ
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 156563 | MEDICAID (05) | AZ |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609933662, enumerated as an "organization" on January 02, 2007.
The provider is located at 3838 N CENTRAL AVE STE 1200 PHOENIX, AZ 85012 and the phone number is (480) 646-6175.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.