OrganizationActive
National Mentor Healthcare
NPI 1245494178 · Physical Disabilities Residential Treatment Facility · Phoenix, AZ
Provider details
- NPI number
- 1245494178
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mary Rodenberg-Roberts, Vp & Sr Asst General Counsel(952) 836-2234
- License
- ALH-6684 (AZ)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
15032 N 37th Ave
Phoenix, AZ 85053
Phone: (602) 567-4971
Fax: (602) 277-0803
Approximate (ZIP-level) locationGet directions
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Other names (DBA / former)
- Doing business as
- Arizona Mentor
- Doing business as
- Arizona Mentor
Registry dates
- Enumerated
- 2008-07-10
- Last updated
- 2025-08-21
- Certified
- 2025-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.