NPIMap

Organization Active NPI

Mentor Abi, LLC

  • Rehabilitation Hospital
  • Raleigh, NC
National Provider Identifier
1497160451
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
MENTOR ABI, LLC
Practice address
3601 Windemere PL
Raleigh, NC 27604-5961
Phone
(202) 425-6757
NPI assigned
Jun 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Mr. Dan Duell
Title
Business Director
Phone
(813) 626-1444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

3601 Windemere PL
Raleigh, NC 27604-5961

Mailing address

10150 Highland Manor Dr
Suite 140
Tampa, FL 33610-9713
Phone (813) 626-1444

Other names 1

  • NeuroRestorative North Carolina Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mentor Abi37 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

Locations

3601 Windemere Pl
Raleigh, NC 27604
Phone (202) 425-6757

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1497160451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 HIGHLAND MANOR DR",
            "address_2": "SUITE 140",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109713",
            "telephone_number": "813-626-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 WINDEMERE PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276045961",
            "telephone_number": "202-425-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR ABI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "DUELL",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "813-626-1444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroRestorative North Carolina",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NeuroRestorative North Carolina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.