NPIMap

Organization Active NPI

National Mentor Healthcare LLC.

Doing business as Creative Home Programs

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1255790572
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.
Doing business as
Creative Home Programs
Practice address
9166 Anaheim PL Ste 200
Rancho Cucamonga, CA 91730-8547
Phone
(909) 948-7499
NPI assigned
Feb 15, 2016
Last updated
Mar 5, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NATIONAL MENTOR HEALTHCARE LLC.As 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 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) 948-7499

Other names 1

  • Creative Home Programs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
National Mentor Healthcare336 organizations share this tax ID, including this one
Part of
National Mentor Healthcare

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": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677974400000",
    "number": "1255790572",
    "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": "909-948-7499"
        },
        {
            "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": "909-948-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MENTOR HEALTHCARE LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR HEALTHCARE LLC.",
        "enumeration_date": "2016-02-15",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Home Programs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creative Home Programs",
            "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.