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NATIONAL MENTOR HEALTHCARE LLC NPI 1760522858


NPI Information

NPI: 1760522858
Provider Name: NATIONAL MENTOR HEALTHCARE, LLC

Doing Business As: NC MENTOR

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1209 E. GARRISON BLVD
GASTONIA, NC
ZIP 28054
Phone: (704) 864-6573
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NATIONAL MENTOR HEALTHCARE, LLC is a community behavioral health in Gastonia, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. NATIONAL MENTOR HEALTHCARE, LLC NPI is 1760522858. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nc Mentor.

The provider's business location address is:

1209 E. GARRISON BLVD
GASTONIA, NC
ZIP 28054-115
Phone: (704) 864-6573
Fax: (704) 864-9791

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 2/7/2007 and was last updated on 3/19/2023.


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
1101YM0800XCounselorMental HealthNo
2251K00000XPublic Health or WelfareNo
3251S00000XCommunity/Behavioral HealthYes

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
18300358MEDICAIDNORTH CAROLINA

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

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