NPIMap

Organization Active NPI

Mentor Abi, LLC

  • Rehabilitation Hospital
  • Hammond, LA
National Provider Identifier
1710099080
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
004 Issued in LA
Legal business name
MENTOR ABI, LLC
Practice address
46406 W Lee Hughes Rd
Hammond, LA 70401-4757
Phone
(501) 707-3262
Fax
(501) 753-8204
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 004 LA Primary
Custodial Care Facility 311Z00000X 004 LA

Addresses

Primary practice location

46406 W Lee Hughes Rd
Hammond, LA 70401-4757

Mailing address

980 Washington St Ste 306
Dedham, MA 02026-6797
Phone (781) 708-9444

Other names 1

  • NeuroRestorative Louisiana 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

46406 W Lee Hughes Rd
Hammond, LA 70401
Phone (225) 567-6557

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1710099080",
    "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",
            "fax_number": "501-753-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46406 W LEE HUGHES RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704014757",
            "telephone_number": "501-707-3262",
            "fax_number": "501-753-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR ABI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "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": "LA",
            "license": "004",
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "LA",
            "license": "004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroRestorative Louisiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NeuroRestorative Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.