National Mentor Healthcare, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fort Wayne, Indiana
1386953024- Practice location
- 6008 Brandy Chase Cv, Fort Wayne, IN 46815-7601
- Phone
- 317-581-2380
- Fax
- —
- Last updated
- March 12, 2023
National Mentor Healthcare, LLC is a healthcare organization based in Fort Wayne, IN. National Mentor Healthcare, LLC practices in Fort Wayne, IN. The NPI Number for National Mentor Healthcare, LLC is 1386953024. The current practice location address for National Mentor Healthcare, LLC is 6008 Brandy Chase Cv, Fort Wayne, IN 46815-7601 and can be reached out via phone at 317-581-2380.
Provider Profile Details
- NPI Number
- 1386953024
- Provider Name
- National Mentor Healthcare, LLC
- Provider Entity Type
- Organization
- Address
- 6008 Brandy Chase Cv, Fort Wayne, IN 46815-7601
- Phone Number
- 317-581-2380
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Brett Ian Cohen · Coo · 800-388-5150
- Other Names
- Indiana Mentor (Doing Business As)
- Provider Enumeration Date
- September 29, 2010
- Last Update Date
- March 12, 2023
- Certification Date
- March 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6008 Brandy Chase Cv
Fort Wayne, IN 46815-7601 - City
- Fort Wayne
- State
- Indiana
- Zip
- 46815-7601
- 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
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · 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 1386953024. 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 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does National Mentor Healthcare, LLC practice?
The practice location is 6008 Brandy Chase Cv, Fort Wayne, IN 46815-7601. 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 1386953024 directly on the NPPES registry website.