Organization · Type 2 NPI

Arizona Health Care Contract Management Services Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Phoenix, AZ

NPI number 1407026644 Active

Practice location

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

Call (480) 646-6175 Map

Fax (617) 790-4271

Other practice locations

5344 N 40th Ln, Phoenix, AZ 85019-2213 · (602) 249-4758

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	BH-1770 (AZ)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

37 other providers at this address

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NPI record

NPI: 1407026644
Entity type: Organization (Type 2)
Issued: Mar 4, 2008
Last updated: Aug 21, 2025
Status: Active

Other names

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Six Pines · doing business as
Six Pines · 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 1407026644

Arizona Health Care Contract Management Services Inc.'s National Provider Identifier is 1407026644, issued on Mar 4, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 21, 2025.