Mentor Healthcare LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MENTOR HEALTHCARE LLC

Doing business as

Indiana MENTOR

Practice address

8925 N Meridian St
Suite 250
Indianapolis, IN 46260-2386

Phone

(317) 581-2380

Fax

(317) 581-2387

NPI assigned

Jul 6, 2010

Last updated

Jul 6, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jeanna R Knight, MA, NCC

Title

Program Supervisor

Phone

(317) 581-2380

Specialties & licenses 1

Addresses

Other names 1

• Indiana MENTOR Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1093027179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 N MERIDIAN ST",
            "address_2": "SUITE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602386",
            "telephone_number": "317-581-2380",
            "fax_number": "317-581-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 N MERIDIAN ST",
            "address_2": "SUITE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602386",
            "telephone_number": "317-581-2380",
            "fax_number": "317-581-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "JEANNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROGRAM SUPERVISOR",
        "authorized_official_telephone_number": "317-581-2380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana MENTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mentoring With Magic Home Services
• Mentors of America, LLC
• Somyata Meratia
• Stefany Meraz-Bandala, BA
• Nancy K Merbitz, PH.D.

• Community/Behavioral Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.