National Mentor Healthcare, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

8002126 Issued in MO

Legal business name

NATIONAL MENTOR HEALTHCARE, LLC

Practice address

9375 Dielman Industrial Dr
Olivette, MO 63132-2212

Phone

(314) 991-7944

Fax

(314) 991-6642

NPI assigned

Dec 7, 2013

Organization subpart

Yes

Parent organization

NATIONAL MENTOR SERVICES, LLCAs reported in NPPES

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

Addresses

Other names 1

• Missouri MENTOR Doing business as

Tax ID family

California Mentor336 organizations share this tax ID, including this one

Part of

National Mentor Services LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• National Mentor Services, LLC

  • Case Management Agency
  • Saint Louis, MO
  • NPI 1427246669
  NPPES parent name

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

{
    "created_epoch": "1386374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677974400000",
    "number": "1225469844",
    "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 HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR SERVICES, LLC",
        "enumeration_date": "2013-12-07",
        "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "8002126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Missouri MENTOR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Missouri MENTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MTS-Olivette, LLC
• Christin Mund, RBT
• Angela Marie Muscarella
• Nanci Miller Counseling LLC
• Nanci Miller Counseling LLC
• National Mentor Services, LLC
• Aubrey Nelson, BCBA, LBA
• Kaylee Neutzling, RBT
• Rebecca Newel, LPC
• Nurturing Family Home Healthcare LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Olivette, MO
• Providers in Olivette, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• 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.