National Mentor Healthcare, LLC
Custodial Care Facility, Adult Care Home in South Bend, Indiana
1194034827- Practice location
- 719 Haney Ave, South Bend, IN 46613-2609
- Phone
- 317-581-2380
- Fax
- —
- Last updated
- March 5, 2023
National Mentor Healthcare, LLC is a healthcare organization based in South Bend, IN. National Mentor Healthcare, LLC practices in South Bend, IN. The NPI Number for National Mentor Healthcare, LLC is 1194034827. The current practice location address for National Mentor Healthcare, LLC is 719 Haney Ave, South Bend, IN 46613-2609 and can be reached out via phone at 317-581-2380.
Provider Profile Details
- NPI Number
- 1194034827
- Provider Name
- National Mentor Healthcare, LLC
- Provider Entity Type
- Organization
- Address
- 719 Haney Ave, South Bend, IN 46613-2609
- Phone Number
- 317-581-2380
- Primary Taxonomy
- Custodial Care Facility, Adult Care Home · 311ZA0620X
- Organization Subpart
- No
- Authorized Official
- Brett Ian Cohen · Coo · 800-388-5150
- Other Names
- Indiana Mentor Adult Foster Care (Doing Business As)
- Provider Enumeration Date
- September 29, 2010
- Last Update Date
- March 5, 2023
- Certification Date
- March 5, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 719 Haney Ave
South Bend, IN 46613-2609 - City
- South Bend
- State
- Indiana
- Zip
- 46613-2609
- Phone Number
- 317-581-2380
Provider Business Mailing Address Details
- Address
- 313 Congress St
Boston, MA 02210-1218 - City
- Boston
- State
- MA
- Zip
- 02210-1218
- Phone Number
- 800-388-5150
- Fax Number
- 617-790-4271
License Information
- Taxonomy
- Custodial Care Facility, Adult Care Home · 311ZA0620X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of National Mentor Healthcare, LLC?
The NPI number of National Mentor Healthcare, LLC is 1194034827. It was assigned on September 29, 2010 and is currently active in the NPPES registry.
What is the specialty of National Mentor Healthcare, LLC?
National Mentor Healthcare, LLC is registered under the primary taxonomy Custodial Care Facility, Adult Care Home (code 311ZA0620X).
Where does National Mentor Healthcare, LLC practice?
The practice location is 719 Haney Ave, South Bend, IN 46613-2609. The office can be reached at 317-581-2380 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194034827 directly on the NPPES registry website.