OrganizationActive
Village Mentors
NPI 1457997280 · Developmental Disabilities Clinic/Center · Mesa, AZ
Provider details
- NPI number
- 1457997280
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jermaine Jordan, Ceo(480) 313-4770
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4903 E Dixon Cir
Mesa, AZ 85205-6453
Phone: (480) 313-4770
Street-level locationGet directions
Mailing address
4903 E Dixon Cir
Mesa, AZ 85205-6453
Registry dates
- Enumerated
- 2019-11-27
- Last updated
- 2019-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.