Active NPI
Caremeridian, LLC
- Skilled Nursing Facility
- Phoenix, AZ
National Provider Identifier
1396972667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NC12680
- Legal business name
- CAREMERIDIAN, LLC
- Practice address
- 5301 E Thomas Rd
Phoenix, AZ 85018-8011 - Phone
- (602) 687-1100
- Fax
- (602) 687-1112
- NPI assigned
- Jun 15, 2009
- Organization subpart
- Yes
- Parent organization
- NATIONAL MENTOR HEALTHCARE, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NC12680 | AZ | Primary |
Addresses
Primary practice location
5301 E Thomas Rd
Phoenix, AZ 85018-8011
Mailing address
18A Journey
Suite 200
Aliso Viejo, CA 92656-5342
Phone (949) 263-6630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC12680 | Other | AZ | NC12680 |
Other names 2
- Neurorestorative
- National Mentor Healthcare, LLC
National Provider Directory
National Provider Directory- Part of
- California Mentor
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565654400000",
"number": "1396972667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18A JOURNEY",
"address_2": "SUITE 200",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926565342",
"telephone_number": "949-263-6630",
"fax_number": "949-261-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850188011",
"telephone_number": "602-687-1100",
"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": "2009-06-15",
"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": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AZ",
"license": "NC12680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC12680",
"identifier": "NC12680",
"state": "AZ"
}
],
"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.