NPIMap

Organization Active NPI

Caremeridian, LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Scottsdale, AZ
National Provider Identifier
1447555032
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
CAREMERIDIAN, LLC
Practice address
6512 E Ludlow Dr
Scottsdale, AZ 85254-3311
Phone
(480) 699-3731
Fax
(480) 699-6796
NPI assigned
Jan 13, 2011
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
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

6512 E Ludlow Dr
Scottsdale, AZ 85254-3311

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
AL8149HOtherAZAZ DHS

Other names 2

  • Neurorestorative Doing business as
  • Mentor ABI-Ludlow Former legal business 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": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1447555032",
    "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": "949-263-6632",
            "fax_number": "949-261-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 E LUDLOW DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543311",
            "telephone_number": "480-699-3731",
            "fax_number": "480-699-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMERIDIAN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR HEALTHCARE, LLC",
        "enumeration_date": "2011-01-13",
        "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": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DHS",
            "identifier": "AL8149H",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurorestorative",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mentor ABI-Ludlow",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mentor ABI-Ludlow",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Scottsdale, 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.