Arizona Mentor

LBN: National Mentor Healthcare
Arizona Mentor is an health care organization with primary practice located at 2700 N 3Rd St Ste 4000 , Phoenix AZ 85004-1173. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. National Mentor Healthcare can be contacted via phone (602) 200-9494, or through Cohen, Brett Ian via phone (800) 388-5150.

Contact Information

Primary practice address
2700 N 3Rd St Ste 4000 Phoenix AZ 85004-1173
Phone: (602) 200-9494
Fax: (602) 567-2064
Website:
Map and Directions
Authorized official contact:
Name: Cohen, Brett Ian
Phone: (800) 388-5150

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X Arizona

Profile Details

NPI number 1114070752
LBN Legal business name National Mentor Healthcare
DBA Doing business as Arizona Mentor
Authorized official Cohen, Brett Ian
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Mar 4th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114070752 NPPES
Arizona MEDICAID 195322

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