Phoenix Residential Centers, Inc.
NPI 1821429267 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Mentor, OH
Phoenix Residential Centers, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Mentor, OH (NPI 1821429267).
Provider details
- NPI number
- 1821429267
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mary Jo Jaskela, Controller(440) 428-9082
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Other names (DBA / former)
- Doing business as
- Heisley Family Home
Registry dates
- Enumerated
- 2013-12-11
- Last updated
- 2013-12-11
Frequently asked questions
- What is Phoenix Residential Centers, Inc.'s NPI number?
- Phoenix Residential Centers, Inc.'s National Provider Identifier (NPI) is 1821429267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Residential Centers, Inc.?
- Phoenix Residential Centers, Inc. is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Phoenix Residential Centers, Inc. located?
- Phoenix Residential Centers, Inc.'s practice location on file with NPPES is 5422 W Heisley Rd, Mentor, OH 44060-1751.
- What is Phoenix Residential Centers, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Phoenix Residential Centers, Inc. is (440) 352-1105.
- Who is the authorized official for Phoenix Residential Centers, Inc.?
- The authorized official listed on Phoenix Residential Centers, Inc.'s NPPES record is Mary Jo Jaskela, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Residential Centers, Inc.'s NPI active?
- Yes — Phoenix Residential Centers, Inc.'s NPI (1821429267) is active in the NPPES registry as of the last update on 2013-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.