NPIMap

Organization Active NPI

National Mentor Healthcare, LLC

Doing business as Arizona Mentor

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1114152394
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSA09ADHS0181 Issued in AZ
Legal business name
NATIONAL MENTOR HEALTHCARE, LLC
Doing business as
Arizona Mentor
Practice address
2700 N 3Rd St
#4000
Phoenix, AZ 85004-1129
Phone
(602) 567-2012
Fax
(602) 567-2062
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Patricia Rodenberg-Roberts
Title
VP & Sr Asst General Counsel
Phone
(952) 836-2234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CSA09ADHS0181 AZ Primary

Addresses

Primary practice location

2700 N 3Rd St
#4000
Phoenix, AZ 85004-1129

Mailing address

3838 N Central Ave Ste 1200
Phoenix, AZ 85012-1997
Phone (480) 646-6175

Other names 1

  • Arizona Mentor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
National Mentor Healthcare LLC336 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1114152394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N CENTRAL AVE STE 1200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121997",
            "telephone_number": "480-646-6175",
            "fax_number": "617-790-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N 3RD ST",
            "address_2": "#4000",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041129",
            "telephone_number": "602-567-2012",
            "fax_number": "602-567-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MENTOR HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "RODENBERG-ROBERTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "VP & SR ASST GENERAL COUNSEL",
        "authorized_official_telephone_number": "952-836-2234"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "CSA09ADHS0181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Mentor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arizona Mentor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.