NPIMap

Organization Active NPI

Mentor Abi,LLC D/B/a Neurorestorative Iowa

Doing business as NeuroRestorative Iowa

  • Rehabilitation Hospital
  • Iowa City, IA
National Provider Identifier
1306110770
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
MENTOR ABI,LLC D/B/A NEURORESTORATIVE IOWA
Doing business as
NeuroRestorative Iowa
Practice address
4569 Jenn LN NE
Iowa City, IA 52240-7969
Phone
(618) 203-6797
NPI assigned
Mar 2, 2012
Last updated
Mar 2, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
NMH HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Mr. Chris Williamson
Title
Regional VP for the Central Div
Phone
(618) 529-3060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X NU Primary

Addresses

Primary practice location

4569 Jenn LN NE
Iowa City, IA 52240-7969

Mailing address

PO Box 2825
Carbondale, IL 62902-2825
Phone (618) 529-3060

Other names 1

  • NeuroRestorative Iowa Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2236657Neurorestorative Iowa - Iowa City4569 Jenn Lane NE, Iowa City, IA 52240Certificate of waiverSep 19, 2027

National Provider Directory

National Provider Directory
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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1306110770",
    "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": "4569 JENN LN NE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522407969",
            "telephone_number": "618-203-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR ABI,LLC D/B/A NEURORESTORATIVE IOWA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NMH HOLDINGS, INC.",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "REGIONAL VP FOR THE CENTRAL DIV",
        "authorized_official_telephone_number": "618-529-3060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroRestorative Iowa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.