Mentor Abi, LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

MENTOR ABI, LLC

Doing business as

NeuroRestorative Massachusetts

Practice address

1107 Middle St
Weymouth, MA 02190-1819

Phone

(781) 708-9444

NPI assigned

Apr 4, 2007

Last updated

Dec 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sergio P Cruz

Title

Cfo

Phone

(781) 708-9444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• NeuroRestorative Massachusetts Doing business as
• Braintree Other name

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

CLIA laboratory certificates

Tax ID family

Mentor Abillc Dba Neurorestorative Iowa37 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.

• Mentor Abi

  dba NeuroRestorative New

  • Rehabilitation Hospital
  • Braintree, MA
  • NPI 1013236124
  NPD tax ID
• Mentor Abi

  dba Pleasanton

  • Rehabilitation Hospital
  • Pleasanton, CA
  • NPI 1023338639
  NPD tax ID
• Mentor Abi

  dba Neurorestorative New Jersey

  • Rehabilitation Hospital
  • Galloway, NJ
  • NPI 1265908388
  NPD tax ID
• Mentor Abi

  dba Scottsdale

  • Rehabilitation Hospital
  • Scottsdale, AZ
  • NPI 1366762296
  NPD tax ID
• Mentor Abi

  dba Oregon Orchid

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
  • NPI 1558686576
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative Rhode Island

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Charlestown, RI
  • NPI 1639476617
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative Wisconsin

  • Mental Illness Community Based Residential Treatment Facility
  • Waterford, WI
  • NPI 1649574252
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative New Jersey

  • Rehabilitation Hospital
  • Mount Laurel, NJ
  • NPI 1740596568
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative Pennsylvania

  • Assisted Living Facility
  • Fairview, PA
  • NPI 1922322502
  NPD tax ID
• Mentor Abi, LLC

  dba NeuroRestorative Maine

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sebago, ME
  • NPI 1033426739
  NPD tax ID
• Mentor Abi, LLC

  dba NeuroRestorative Texas

  • Assisted Living Facility
  • Tyler, TX
  • NPI 1043322308
  NPD tax ID
• Mentor Abi, LLC

  dba NeuroRestorative San Antonio

  • Rehabilitation Hospital
  • Castle Hills, TX
  • NPI 1043581937
  NPD tax ID

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1629190269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WASHINGTON ST STE 306",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266797",
            "telephone_number": "781-708-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 MIDDLE ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901819",
            "telephone_number": "781-708-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR ABI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-708-9444"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1901702",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroRestorative Massachusetts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Braintree",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Braintree",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Rehabilitation Hospital in Weymouth, MA
• Providers in Weymouth, MA by specialty
• Rehabilitation Hospital in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.