Organization · Type 2 NPI

National Mentor Healthcare

Physical Disabilities Residential Treatment Facility · Phoenix, AZ

NPI number 1245494178 Active

Practice location

15032 N 37th Ave
Phoenix, AZ 85053

Call (602) 567-4971 Map

Fax (602) 277-0803

Mailing address

6600 France Ave S Ste 350
Edina, MN 55435-1810

Specialties and licenses

Taxonomy	Code	License
Physical Disabilities Residential Treatment Facility Primary	320700000X	ALH-6684 (AZ)

Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

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NPI record

NPI: 1245494178
Entity type: Organization (Type 2)
Issued: Jul 10, 2008
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 1245494178

National Mentor Healthcare's National Provider Identifier is 1245494178, issued on Jul 10, 2008. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 21, 2025.