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National Mentor Healthcare, LLC

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Osceola, IN

NPI 1295984490 · NPPES record last updated Mar 5, 2023

Key facts

NPI
1295984490
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
NATIONAL MENTOR HEALTHCARE, LLC
Practice address
10676 Toledo Ave
Osceola, IN 46561-9761
Phone
(317) 581-2380
Fax
(317) 581-2378
NPI assigned
Sep 11, 2008
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
California Mentor (336 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

10676 Toledo Ave
Osceola, IN 46561-9761

Mailing address

313 Congress St
Boston, MA 02210-1218
Phone (800) 388-5150

Other identifiers

IdentifierTypeStateIssuer
200193830 FOtherINPROVIDER NUMBER

Other names

  • Indiana Mentor Adult Foster Care Doing business as

Other providers in Osceola, IN

All providers in Osceola, IN · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Indiana

Sources for this page

Verify at the official NPI Registry.