NPIMap

Organization Active NPI

Mentor Abi,LLC D/B/a Neurorestorative Iowa

  • Rehabilitation Hospital
  • De Witt, IA
National Provider Identifier
1144803941
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
MENTOR ABI,LLC D/B/A NEURORESTORATIVE IOWA
Practice address
2803 262ND St
De Witt, IA 52742-9429
Phone
(563) 321-5706
NPI assigned
Apr 30, 2021
Last updated
Apr 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Sergio P Cruz
Title
Cfo
Phone
(781) 708-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

2803 262ND St
De Witt, IA 52742-9429

Mailing address

2803 262ND St
De Witt, IA 52742-9429
Phone (563) 321-5706

National Provider Directory

National Provider Directory
Tax ID family
Mentor Abi LLC Dba Neurorestorative Indiana37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1144803941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 262ND ST",
            "city": "DE WITT",
            "state": "IA",
            "postal_code": "527429429",
            "telephone_number": "563-321-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 262ND ST",
            "city": "DE WITT",
            "state": "IA",
            "postal_code": "527429429",
            "telephone_number": "563-321-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR ABI,LLC D/B/A NEURORESTORATIVE IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-708-9444"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Witt, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.