Organization · Type 2 NPI

Mentor Healthcare, Inc

Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ

NPI number 1154488112 Active

Practice location

9131 W Cambridge Ave
Phoenix, AZ 85037-4255

Call (623) 643-9402 Map

Fax (602) 567-2062

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	2740 (AZ)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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NPI record

NPI: 1154488112
Entity type: Organization (Type 2)
Issued: Jan 2, 2007
Last updated: Aug 21, 2025
Status: Active

Other names

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Arizona Mentor · doing business as
Arizona Mentor · doing business as

Authorized official

Mary Patricia Rodenberg-Roberts
VP & SR Asst General Counsel
(952) 836-2234

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154488112

Mentor Healthcare, Inc's National Provider Identifier is 1154488112, issued on Jan 2, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 21, 2025.