NPIMap

Organization Active NPI

National Mentor Services, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Olivette, MO
National Provider Identifier
1194146340
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
NATIONAL MENTOR SERVICES, LLC
Practice address
9375 Dielman Industrial Dr
Olivette, MO 63132-2212
Phone
(314) 991-7944
Fax
(314) 991-6642
NPI assigned
Dec 13, 2013
Organization subpart
Yes
Parent organization
NATIONAL MENTOR SERVICES HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Rachel Kramer
Title
Sr Director of Operations
Phone
(314) 991-7944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

9375 Dielman Industrial Dr
Olivette, MO 63132-2212

Mailing address

9375 Dielman Industrial Dr
Olivette, MO 63132-2212
Phone (314) 991-7944

Other names 1

  • Missouri Mentor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
National Mentor Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1194146340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 DIELMAN INDUSTRIAL DR",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631322212",
            "telephone_number": "314-991-7944",
            "fax_number": "314-991-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 DIELMAN INDUSTRIAL DR",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631322212",
            "telephone_number": "314-991-7944",
            "fax_number": "314-991-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MENTOR SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR SERVICES HOLDINGS, LLC",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "SR DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "314-991-7944"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Missouri Mentor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olivette, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.