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Mentor Idaho, Llc
Intellectual Disabilities Intermediate Care Facility in Meridian, Idaho
NPI 1376129866

Mentor Idaho, Llc is a Intellectual Disabilities Intermediate Care Facility based in Rancho Cucamonga, ID. Mentor Idaho, Llc practices in Meridian, ID. The NPI Number for Mentor Idaho, Llc is 1376129866 and holds a License No. (Idaho).

The current practice location address for Mentor Idaho, Llc is 699 S Otter Ave, Meridian, ID and can be reached out via phone at 951-201-5914. You can also correspond with Mentor Idaho, Llc through the mailing address at 9166 ANAHEIM PL STE 200, RANCHO CUCAMONGA, CA - 91730-8547 (mailing address contact number: 915-201-5914).

Location: 699 S Otter Ave, Meridian, ID, 91730-8547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376129866
Provider Name
Mentor Idaho, Llc
Credential
Provider Entity Type
Organization
Address
699 S Otter Ave, Meridian, ID, 91730-8547
Phone Number
951-201-5914
Fax Number
Provider Enumeration Date
03/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
699 S Otter Ave
City
Meridian
State
Idaho
Zip
83642-6144
Phone Number
951-201-5914
Fax Number
person
Provider Business Mailing Address Details
Address
699 S Otter Ave
City
Meridian
State
Idaho
Zip
83642-6144
Phone Number
951-201-5914
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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