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HEISLEY FAMILY HOME
NPI 1821429267
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mentor, OH

Active since December 11, 2013
5422 W HEISLEY RD, MENTOR, OH 44060(440) 352-1105 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heisley Family Home NPPES

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

HEISLEY FAMILY HOME (NPI 1821429267) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Mentor, Ohio and active in the NPI registry since December 2013. The organization lists Mary Jo Jaskela, Controller, as its authorized official.

NPPES Registry Identity

NPI1821429267
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePHOENIX RESIDENTIAL CENTERS, INC.
Location Address5422 W HEISLEY RDMentor, OH 44060-1751
Mailing AddressPo Box 40Madison, OH 44057-0040 · (440) 428-9082 · Fax (440) 428-5399
Phone(440) 352-1105
Organization SubpartNo
Authorized OfficialMary Jo JaskelaController · (440) 428-9082
Enumeration DateDecember 11, 2013
✔ NPI 1821429267 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
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
5422 W HEISLEY RD, Mentor, OH 44060
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Other Names 1

Doing Business AsHeisley Family Home

Other Providers at the Same Location NPPES

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

VIAQUEST HEALTHCARE CENTRAL
Intermediate Care Facility, Intellectual Disabilities
5422 W HEISLEY RD
MENTOR, OH 44060
Lake County (614) 339-0814

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 Phoenix Residential Centers, Inc.'s NPI number?

The NPI number for Phoenix Residential Centers, Inc. is 1821429267. It was assigned to this organization in the NPPES registry on December 11, 2013. The provider is doing business as Heisley Family Home.

Where is Phoenix Residential Centers, Inc. located?

Phoenix Residential Centers, Inc. is located at 5422 W Heisley Rd, Mentor, OH 44060. The listed phone number is (440) 352-1105.

What is Phoenix Residential Centers, 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.

When was this NPI record last updated?

The NPPES record for Phoenix Residential Centers, Inc. was last updated on December 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.