NPIMap

Organization Active NPI

National Mentor Health Care, LLC

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1972514099
Registry record updated May 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NATIONAL MENTOR HEALTH CARE, LLC
Practice address
3838 N Central Ave Ste 1200
Phoenix, AZ 85012-1997
Phone
(480) 646-6175
Fax
(617) 790-4271
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2023

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

Authorized official

Name
Brett Ian Cohen
Title
Coo
Phone
(800) 388-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3838 N Central Ave Ste 1200
Phoenix, AZ 85012-1997

Mailing address

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

Other practice location 1

2700 N 3rd St
Suite 4000
Phoenix, AZ 85004-1129
Phone (602) 567-4955

Other identifiers 1

IdentifierTypeStateIssuer
959968MedicaidAZ

Other names 1

  • REM Rehabilitation Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
California Mentor336 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

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

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684022400000",
    "number": "1972514099",
    "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": "3838 N CENTRAL AVE STE 1200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121997",
            "telephone_number": "480-646-6175",
            "fax_number": "617-790-4271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 N 3rd St",
            "address_2": "Suite 4000",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850041129",
            "country_code": "US",
            "telephone_number": "602-567-4955",
            "fax_number": "602-567-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATIONAL MENTOR HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-388-5150"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "959968",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REM Rehabilitation",
            "code": "4",
            "type": "Former Legal Business 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 May 14, 2023; 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.