Organization Active NPI

Mentor Plus Inc.

  • Case Management Agency
  • Warner Robins, GA
National Provider Identifier
1699040584
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MENTOR PLUS INC.
Practice address
114-A South Commercial Cir
Warner Robins, GA 31088
Phone
(188) 986-5646
NPI assigned
Mar 12, 2012
Last updated
Mar 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Mr. Brian Goodwin Hampton Jr., MS
Title
Ceo/ Director of Operations
Phone
(888) 986-5646

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X GA Primary
Community/Behavioral Health Agency 251S00000X GA

Addresses

Primary practice location

114-A South Commercial Cir
Warner Robins, GA 31088

Mailing address

114-A South Commercial Cir
Warner Robins, GA 31088
Phone (188) 986-5646

Other names 1

  • Mentor Plus Former legal business name

National Provider Directory

National Provider Directory

Locations

114 S Commercial Cir
#A
Warner Robins, GA 31088

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1699040584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114-A SOUTH COMMERCIAL CIR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "188-986-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114-A SOUTH COMMERCIAL CIR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "188-986-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR PLUS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "GOODWIN",
        "authorized_official_title_or_position": "CEO/ DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "888-986-5646",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mentor Plus",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.