NATIONAL MENTOR HEALTHCARE LLC NPI 1457667164

NPI Information

NPI: 1457667164
Provider Name: NATIONAL MENTOR HEALTHCARE LLC

Doing Business As: INDIANA MENTOR ADULT FOSTER CARE

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4005 TEXAS PIKE
SPENCER, IN
ZIP 47460
Phone: (317) 581-2380
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NATIONAL MENTOR HEALTHCARE LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Spencer, IN. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. NATIONAL MENTOR HEALTHCARE LLC NPI is 1457667164. The provider is registered as an organization entity type.
The provider Is Doing Business As Indiana Mentor Adult Foster Care.

The provider's business location address is:

4005 TEXAS PIKE
SPENCER, IN
ZIP 47460-158
Phone: (317) 581-2380

The provider's authorized official is Brett Ian Cohen .
The authorized official title is Coo and has the following contact phone number (800) 388-5150.

The enumeration date for this NPI number is 8/19/2010 and was last updated on 3/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200193830R	OTHER	INDIANA	PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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