NPIMap

Organization Active NPI

National Mentor Healthcare, LLC

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1194157008
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NATIONAL MENTOR HEALTHCARE, LLC
Practice address
9166 Anaheim PL Ste 200
Rancho Cucamonga, CA 91730-8547
Phone
(909) 483-2505
NPI assigned
Aug 1, 2013
Organization subpart
Yes
Parent organization
NATIONAL MENTOR, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2023

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

Authorized official

Name
Brett Ian Cohen
Title
Coo
Phone
(800) 388-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

9166 Anaheim PL Ste 200
Rancho Cucamonga, CA 91730-8547

Mailing address

9166 Anaheim PL Ste 200
Rancho Cucamonga, CA 91730-8547
Phone (909) 483-2505

Other names 1

  • California MENTOR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
California Mentor336 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677974400000",
    "number": "1194157008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9166 ANAHEIM PL STE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308547",
            "telephone_number": "909-483-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9166 ANAHEIM PL STE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308547",
            "telephone_number": "909-483-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MENTOR HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR, LLC",
        "enumeration_date": "2013-08-01",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-388-5150"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California MENTOR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "California MENTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; 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.