- Practice location
- 522 W Mckinley Ave, Mishawaka, IN 46545-5520
- Phone
- 317-581-2380
- Fax
- —
- Last updated
- March 12, 2023
National Mentor Healthcare, LLC is a healthcare organization based in Mishawaka, IN. National Mentor Healthcare, LLC practices in Mishawaka, IN. The NPI Number for National Mentor Healthcare, LLC is 1669781308. The current practice location address for National Mentor Healthcare, LLC is 522 W Mckinley Ave, Mishawaka, IN 46545-5520 and can be reached out via phone at 317-581-2380.
Provider Profile Details
- NPI Number
- 1669781308
- Provider Name
- National Mentor Healthcare, LLC
- Provider Entity Type
- Organization
- Address
- 522 W Mckinley Ave, Mishawaka, IN 46545-5520
- 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
- 522 W Mckinley Ave
Mishawaka, IN 46545-5520 - City
- Mishawaka
- State
- Indiana
- Zip
- 46545-5520
- 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. | |||
Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers near Mishawaka, IN
View all Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Mishawaka →Frequently Asked Questions
What is the NPI number of National Mentor Healthcare, LLC?
The NPI number of National Mentor Healthcare, LLC is 1669781308. 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 522 W Mckinley Ave, Mishawaka, IN 46545-5520. 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 1669781308 directly on the NPPES registry website.