NPIMap

Organization Active NPI

Caremeridian, LLC

  • Rehabilitation Hospital
  • Phoenix, AZ
National Provider Identifier
1114240785
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
AL8380H Issued in AZ
Legal business name
CAREMERIDIAN, LLC
Practice address
15032 N. 37TH Ave.
Phoenix, AZ 85053-4620
Phone
(602) 942-1744
Fax
(602) 687-1112
NPI assigned
Mar 10, 2010
Organization subpart
Yes
Parent organization
NATIONAL MENTOR HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Mr. Sean Shea
Title
Director of Finance
Phone
(617) 688-5251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X AL8380H AZ Primary

Addresses

Primary practice location

15032 N. 37TH Ave.
Phoenix, AZ 85053-4620

Mailing address

18-A Journey
Suite 200
Aliso Viejo, CA 92656-5342
Phone (949) 263-6632

Other names 2

  • Neurorestorative Doing business as
  • National Mentor Healthcare, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Caremeridian LLC40 organizations share this tax ID, including this one
Part of
California Mentor

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1114240785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18-A JOURNEY",
            "address_2": "SUITE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565342",
            "telephone_number": "949-263-6632",
            "fax_number": "949-261-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15032 N. 37TH AVE.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534620",
            "telephone_number": "602-942-1744",
            "fax_number": "602-687-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMERIDIAN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR HEALTHCARE, LLC",
        "enumeration_date": "2010-03-10",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "617-688-5251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "AZ",
            "license": "AL8380H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurorestorative",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "National Mentor Healthcare, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 13, 2019; 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.