NATIONAL MENTOR HEALTHCARE LLC
NPI 1689098030
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

NPI Status: Active since February 05, 2014

Contact Information

3838 N CENTRAL AVE STE 1200
PHOENIX, AZ
ZIP 85012
Phone: (480) 646-6175
Fax: (617) 790-4271

NPI Profile Information
Primary Taxonomy
Secondary Locations
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Community Based Residential Treatment Fa...
CLIA Number: 03D0979737
CLIA Cert. Type: Other
CLIA Exp. Date: 10-30-2026

About NATIONAL MENTOR HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for National Mentor Healthcare Llc, 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 1689098030 assigned on February 2014. The practitioner's primary taxonomy code is 320800000X with license number BH4440 (AZ). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Mary Patricia Rodenberg-roberts (Vp & Sr Asst General Counsel)

NPI: 1689098030
Provider Legal Name: NATIONAL MENTOR HEALTHCARE LLC
Other Organization Name
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: 02-05-2014
Last Update Date: 08-21-2025
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Location Map

Secondary Locations

12502 N 85th Ln
Peoria, AZ 85381
(602) 714-1865

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.: BH4440
License State: AZ
Taxonomy Description: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MARY PATRICIA RODENBERG-ROBERTS
Authorized Official Title: VP & SR ASST GENERAL COUNSEL
Authorized Official Phone: (952) 836-2234

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 03D0979737
Facility Type: Other
Certificate Effective Date: October 31, 2024
Certificate Expiration Date: October 30, 2026
Laboratory Director: RENEE E. HYNDS
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to National Mentor Healthcare Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689098030, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 16 → 1 + 6

Pos 4

Unchanged

Pos 5

Doubled → 0

Pos 6

Unchanged

Pos 7

Doubled → 16 → 1 + 6

Pos 8

Unchanged

Pos 9

Doubled → 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 0 + 9 + 1 + 6 + 0 + 6 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0

This NPI is valid

The calculated check digit is 0, which matches the last digit of 1689098030.