NPIMap

Organization Active NPI

Mentis Ohio, LLC

  • Physical Disabilities Residential Treatment Facility
  • Stow, OH
National Provider Identifier
1245518539
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
MENTIS OHIO, LLC
Practice address
3625 Marsh Rd
Stow, OH 44224-5823
Phone
(713) 864-8996
Fax
(713) 820-4220
NPI assigned
Aug 3, 2011
Organization subpart
Yes
Parent organization
MENTIS NEURO REHABILITATION, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Mark L. Quigley
Title
Chief Operating Officer
Phone
(713) 864-8996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

3625 Marsh Rd
Stow, OH 44224-5823

Mailing address

6565 West Loop South
Ste. 410
Bellaire, TX 77401-3519
Phone (713) 820-4200

Other names 1

  • Mentis Neuro Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mentis Ohio LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1245518539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP SOUTH",
            "address_2": "STE. 410",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013519",
            "telephone_number": "713-820-4200",
            "fax_number": "713-820-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 MARSH RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442245823",
            "telephone_number": "713-864-8996",
            "fax_number": "713-820-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTIS OHIO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENTIS NEURO REHABILITATION, LP",
        "enumeration_date": "2011-08-03",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "QUIGLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "713-864-8996"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mentis Neuro Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.