Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Residential Centers, Inc

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1821429267

Phoenix Residential Centers, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mentor, Ohio. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5422 W Heisley Rd
Mentor, OH 44060-1751
Phone: (440) 352-1105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1821429267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Jo Jaskela — Controller · (440) 428-9082
Other names Heisley Family Home
NPI enumeratedDecember 11, 2013
Last updated in NPPESDecember 11, 2013
Mailing addressPo Box 40, Madison, OH 44057-0040