- Practice location
- 15000 Highway 298, Benton, AR 72019-9282
- Phone
- 501-758-8799
- Fax
- 501-753-8204
- Last updated
- March 18, 2025
Mentor Abi, LLC is a healthcare organization based in Benton, AR. Mentor Abi, LLC practices in Benton, AR. The NPI Number for Mentor Abi, LLC is 1245342591 and holds a License No. 001 (AR). The current practice location address for Mentor Abi, LLC is 15000 Highway 298, Benton, AR 72019-9282 and can be reached out via phone at 501-758-8799 and via fax at 501-753-8204.
Provider Profile Details
- NPI Number
- 1245342591
- Provider Name
- Mentor Abi, LLC
- Provider Entity Type
- Organization
- Address
- 15000 Highway 298, Benton, AR 72019-9282
- Phone Number
- 501-758-8799
- Fax Number
- 501-753-8204
- Primary Taxonomy
- Rehabilitation Hospital · 283X00000X
- Organization Subpart
- No
- Authorized Official
- Mary Patricia Rodenberg-Roberts · Vp & Sr Asst General Counsel · 952-836-2234
- Other Names
- Timber Ridge Ranch Neurorestorative Center (Doing Business As)
- Provider Enumeration Date
- August 31, 2006
- Last Update Date
- March 18, 2025
- Certification Date
- March 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15000 Highway 298
Benton, AR 72019-9282 - City
- Benton
- State
- Arkansas
- Zip
- 72019-9282
- Phone Number
- 501-758-8799
- Fax Number
- 501-753-8204
Provider Business Mailing Address Details
- Address
- 280 Merrimack St Ste 600
Lawrence, MA 01843-1779 - City
- Lawrence
- State
- MA
- Zip
- 01843-1779
- Phone Number
- 501-758-8799
- Fax Number
- 501-753-8204
License Information
- License Number (1)
- 001
- License State (1)
- AR
- Taxonomy (1)
- Rehabilitation Hospital · 283X00000X · Primary
- License Number (2)
- 10042
- License State (2)
- AR
- Taxonomy (2)
- Rehabilitation Hospital, Children · 283XC2000X
- Taxonomy (3)
- Psychiatric Residential Treatment Facility · 323P00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Rehabilitation Hospital providers near Benton, AR
View all Rehabilitation Hospital providers in Benton →Frequently Asked Questions
What is the NPI number of Mentor Abi, LLC?
The NPI number of Mentor Abi, LLC is 1245342591. It was assigned on August 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Mentor Abi, LLC?
Mentor Abi, LLC is registered under the primary taxonomy Rehabilitation Hospital (code 283X00000X), licensed in AR under license number 001.
Where does Mentor Abi, LLC practice?
The practice location is 15000 Highway 298, Benton, AR 72019-9282. The office can be reached at 501-758-8799 (phone) or 501-753-8204 (fax).
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 1245342591 directly on the NPPES registry website.