Mentor Healthcare, Inc in Phoenix - Community Based Residential Treatment Facility, Mental Illness
Mentor Healthcare, Inc - NPI 1154488112
Mentor Healthcare, Inc is a Community Based Residential Treatment Facility, Mental Illness in Phoenix, Arizona. Mentor Healthcare, Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Mentor Healthcare, Inc is 1154488112. The last update date is 2023-05-14.
Mentor Healthcare, Inc's current location address is 9131 W Cambridge Ave, Phoenix, Arizona. You can contact this provider via phone number 6236439402 and fax number 6025672062. The mailing address for Mentor Healthcare, Inc is 9131 W Cambridge Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mentor Healthcare, Inc |
|---|---|
| Address | 9131 W Cambridge Ave, Phoenix, Arizona |
| Phone Number | 6236439402 |
| Fax Number | 6025672062 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Cohen Ian Brett |
| Telephone Number | 8003885150 |
NPI Number Detail
| NPI Number | 1154488112 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2023-05-14 |
Provider Mailing Address Detail
| Address | 9131 W Cambridge Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850374255 |
| Phone Number | 6236439402 |
| Fax Number | 6025672062 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 2740 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 84431 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mentor Healthcare, Inc by the Centers for Medicare & Medicaid Services?
The Mentor Healthcare, Inc has been issued the NPI (National Provider Identifier) 1154488112 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mentor Healthcare, Inc's facilities are geographically located?
The facilities of Mentor Healthcare, Inc are physically situated at the following location: 9131 W Cambridge Ave, Phoenix, AZ, 850374255.
What is Mentor Healthcare, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mentor Healthcare, Inc is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that classifies this field of practice is 320800000X.
When was the Mentor Healthcare, Inc's 1154488112 issued?
The Mentor Healthcare, Inc's 1154488112 was issued on 2007-01-02.
As of what date were the Mentor Healthcare, Inc's details last updated?
The information pertaining to the Mentor Healthcare, Inc, including its address, specialty, and other details, was most recently updated on 2023-05-14.