National Mentor Healthcare Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
NATIONAL MENTOR HEALTHCARE LLC	1598005423	2023-03-12

The organization National Mentor Healthcare Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1598005423. Registration indicates National Mentor Healthcare Llc is a provider of services with a specialization in Nursing & Custodial Care Facilities, Custodial Care Facility (Custodial Care Facility: Adult Care Home, ) (Custodial Care Facility Adult Care Home, Nursing & Custodial Care Facilities) (Custodial Care Facility, )

Other Names:

• Indiana MENTOR Adult Foster Care

Entity Type	Organization
Provider Organization	NATIONAL MENTOR HEALTHCARE LLC
Other Provider Organization	INDIANA MENTOR ADULT FOSTER CARE
Practice Office Address	6032 W 7TH AVE GARY, IN US
Practice Office Telephone	3175812380
Mailing Address	313 CONGRESS ST BOSTON, MA 022101218 US
Business Telephone	8003885150
Business Fax	6177904271
Authorized Official	BRETT IAN COHEN, COO 8003885150

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