Mentor Abi, LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

MENTOR ABI, LLC

Doing business as

NeuroRestorative Indiana

Practice address

3201 Davis Rd
Indianapolis, IN 46239-9305

Phone

(618) 529-3060

Fax

(618) 529-8119

NPI assigned

Oct 2, 2014

Last updated

Oct 2, 2014By 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

Christopher Williamson

Title

Vice President Operations

Phone

(618) 529-3060

Specialties & licenses 1

Addresses

Other names 1

• NeuroRestorative Indiana Doing business as

Tax ID family

Mentor Abi LLC37 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.

• Mentor Abi, LLC D/B/a Neurorestorative Indiana

  dba NeuroRestorative Indiana

  • Rehabilitation Hospital
  • Indianapolis, IN
  • NPI 1669746038
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative New

  • Rehabilitation Hospital
  • Braintree, MA
  • NPI 1013236124
  NPD tax ID
• Mentor Abi

  dba Pleasanton

  • Rehabilitation Hospital
  • Pleasanton, CA
  • NPI 1023338639
  NPD tax ID
• Mentor Abi

  dba Neurorestorative New Jersey

  • Rehabilitation Hospital
  • Galloway, NJ
  • NPI 1265908388
  NPD tax ID
• Mentor Abi

  dba Scottsdale

  • Rehabilitation Hospital
  • Scottsdale, AZ
  • NPI 1366762296
  NPD tax ID
• Mentor Abi

  dba Oregon Orchid

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
  • NPI 1558686576
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative Rhode Island

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Charlestown, RI
  • NPI 1639476617
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative Wisconsin

  • Mental Illness Community Based Residential Treatment Facility
  • Waterford, WI
  • NPI 1649574252
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative New Jersey

  • Rehabilitation Hospital
  • Mount Laurel, NJ
  • NPI 1740596568
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative Pennsylvania

  • Assisted Living Facility
  • Fairview, PA
  • NPI 1922322502
  NPD tax ID
• Mentor Abi, LLC

  dba NeuroRestorative Maine

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sebago, ME
  • NPI 1033426739
  NPD tax ID
• Mentor Abi, LLC

  dba NeuroRestorative Texas

  • Assisted Living Facility
  • Tyler, TX
  • NPI 1043322308
  NPD tax ID

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1215330444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2825",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629022825",
            "telephone_number": "618-529-3060",
            "fax_number": "618-529-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 DAVIS RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462399305",
            "telephone_number": "618-529-3060",
            "fax_number": "618-529-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR ABI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "VICE PRESIDENT OPERATIONS",
        "authorized_official_telephone_number": "618-529-3060"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroRestorative Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mental Health Association of Indiana (Indiana Center for Children and Families)
• Mental Health Centers of Indiana, LLC
• Mental Health Solutions and Recovery LLC
• Mental Help Provider LLC
• Nicole Menton, MSW, LCSW
• Mentor Abi, LLC D/B/a Neurorestorative Indiana (NeuroRestorative Indiana)
• Mentor Healthcare LLC (Indiana MENTOR)
• Mentoring With Magic Home Services
• Mentors of America, LLC
• Somyata Meratia

• Rehabilitation Hospital in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Rehabilitation Hospital in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.