Organization Active NPI

Coll Mentors LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1689596181
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
COLL MENTORS LLC
Practice address
4545 N 67TH Ave Unit 1109
Phoenix, AZ 85033-1670
Phone
(954) 544-9065
NPI assigned
Jul 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Collins Ayeah
Title
Owner
Phone
(954) 544-9065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

4545 N 67TH Ave Unit 1109
Phoenix, AZ 85033-1670

Mailing address

4545 N 67TH Ave Unit 1109
Phoenix, AZ 85033-1670
Phone (954) 544-9065

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1689596181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N 67TH AVE UNIT 1109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850331670",
            "telephone_number": "954-544-9065",
            "fax_number": "954-544-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N 67TH AVE UNIT 1109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850331670",
            "telephone_number": "954-544-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLL MENTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "AYEAH",
        "authorized_official_first_name": "COLLINS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-544-9065"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 27, 2026; 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.