Active NPI
Mentor Abi
- Rehabilitation Hospital
- Braintree, MA
National Provider Identifier
1013236124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- Legal business name
- MENTOR ABI
- Practice address
- 639 Granite St
Suite 215
Braintree, MA 02184-5366 - Phone
- (781) 356-6330
- NPI assigned
- May 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Scott Davis, MBA
- Title
- Sr. Business Director
- Phone
- (618) 303-1577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | Primary |
Addresses
Primary practice location
639 Granite St
Suite 215
Braintree, MA 02184-5366
Mailing address
639 Granite St
Suite 215
Braintree, MA 02184-5366
Phone (781) 356-6330
Other names 1
- NeuroRestorative New
National Provider Directory
National Provider Directory- Tax ID family
- Mentor Abi
Other organizations with this tax ID 36
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Hospital
- Weymouth, MA
- NPI 1629190269
-
- Rehabilitation Hospital
- Pleasanton, CA
- NPI 1023338639
-
- Rehabilitation Hospital
- Galloway, NJ
- NPI 1265908388
-
- Rehabilitation Hospital
- Scottsdale, AZ
- NPI 1366762296
-
- Mental Illness Community Based Residential Treatment Facility
- Portland, OR
- NPI 1558686576
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Charlestown, RI
- NPI 1639476617
-
- Mental Illness Community Based Residential Treatment Facility
- Waterford, WI
- NPI 1649574252
-
- Rehabilitation Hospital
- Mount Laurel, NJ
- NPI 1740596568
-
- Assisted Living Facility
- Fairview, PA
- NPI 1922322502
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Sebago, ME
- NPI 1033426739
-
- Assisted Living Facility
- Tyler, TX
- NPI 1043322308
-
- Rehabilitation Hospital
- Castle Hills, TX
- NPI 1043581937
Locations
639 Granite St
Ste 215
Braintree, MA 02184
Phone (781) 356-6330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432684800000",
"number": "1013236124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 GRANITE ST",
"address_2": "SUITE 215",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021845366",
"telephone_number": "781-356-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 GRANITE ST",
"address_2": "SUITE 215",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021845366",
"telephone_number": "781-356-6330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTOR ABI",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-28",
"last_updated": "2015-05-27",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "SR. BUSINESS DIRECTOR",
"authorized_official_telephone_number": "618-303-1577",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NeuroRestorative New",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.