Mentor Abi, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

916 Issued in VA

Legal business name

MENTOR ABI, LLC

Doing business as

NeuroRestorative Virginia

Practice address

1510 Seneca Dr
Blacksburg, VA 24060-2464

Phone

(540) 951-1902

Fax

(540) 951-9228

NPI assigned

Mar 29, 2007

Last updated

Feb 2, 2024By 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

Mary Patricia Rodenberg-Roberts

Title

Vice Pres & Sr Asst General Counsel

Phone

(952) 836-2234

Specialties & licenses 1

Addresses

Other names 1

• NeuroRestorative Virginia Doing business as

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.

• 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

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1669592234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MERRIMACK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431779",
            "telephone_number": "800-743-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 SENECA DR",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602464",
            "telephone_number": "540-951-1902",
            "fax_number": "540-951-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR ABI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "RODENBERG-ROBERTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "VICE PRES & SR ASST GENERAL COUNSEL",
        "authorized_official_telephone_number": "952-836-2234"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroRestorative Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Associates of Southwest Virginia
• Siddhi Mehta, D.O.
• Georgia Rubiane Meira DO Rosario de Souza
• Melissa Adams Ms LLC
• Amanda Mellowspring, MS,RD,CEDRD
• Ashley Nicole Merrifield, AUD
• Christopher Paul Mertes, M.D.
• Mary-Ellen Mick, D.O.
• Mia Mickenberg, LPC
• Margaret Softie Midboe, LCSW

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.