MENTOR HEALTHCARE INC NPI 1710043062

NPI Information

NPI: 1710043062
Provider Name: MENTOR HEALTHCARE, INC

Doing Business As: ARIZONA MENTOR

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1316 E VERLEA DR
TEMPE, AZ
ZIP 85282
Phone: (480) 446-7710
Get Directions

MENTOR HEALTHCARE, INC is a community based residential treatment facility mental illness in Tempe, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MENTOR HEALTHCARE, INC NPI is 1710043062. The provider is registered as an organization entity type.
The provider Is Doing Business As Arizona Mentor.

The provider's business location address is:

1316 E VERLEA DR
TEMPE, AZ
ZIP 85282-601
Phone: (480) 446-7710

The provider's authorized official is Joel Temple .
The authorized official title is Executive Director and has the following contact phone number (602) 200-9494.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		2270	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	44011	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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