Arizona Mentor

LBN: Mentor Healthcare, Inc
Arizona Mentor is an health care organization with primary practice located at 3838 N Central Ave Ste 1200 , Phoenix AZ 85012-1997. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Mentor Healthcare, Inc can be contacted via phone (480) 646-6175, or through Cohen, Brettt Ian via phone (800) 388-5150.

Contact Information

Primary practice address
3838 N Central Ave Ste 1200 Phoenix AZ 85012-1997
Phone: (480) 646-6175
Fax: (617) 790-4271
Website:
Map and Directions
Authorized official contact:
Name: Cohen, Brettt Ian
Phone: (800) 388-5150

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 2279 Arizona

Profile Details

NPI number 1609933662
LBN Legal business name Mentor Healthcare, Inc
DBA Doing business as Arizona Mentor
Authorized official Cohen, Brettt Ian
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated May 14th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609933662 NPPES
Arizona MEDICAID 156563

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