National Mentor Healthcare, Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

CO-125-09 Issued in VA

Legal business name

NATIONAL MENTOR HEALTHCARE, INC.

Practice address

8540 Cinder Bed Rd Ste 1700
Lorton, VA 22079-1442

Phone

(703) 339-7299

NPI assigned

Jun 2, 2009

Organization subpart

No

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

Authorized official

Name

Brett Ian Cohen, MSW

Title

Coo

Phone

(800) 388-5150

Specialties & licenses 1

Addresses

Other names 1

• Family Advocacy Services of Virginia Doing business as

Tax ID family

California Mentor336 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• National Mentor Healthcare, Inc.

  • Case Management Agency
  • Newington, VA
  • NPI 1306938444
  NPD tax ID

Locations

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679184000000",
    "number": "1760618979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 CONGRESS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101218",
            "telephone_number": "800-388-5150",
            "fax_number": "617-790-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 CINDER BED RD STE 1700",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791442",
            "telephone_number": "703-339-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MENTOR HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-388-5150",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "VA",
            "license": "CO-125-09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Advocacy Services of Virginia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Advocacy Services of Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bryce Nalls
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• National Rehabilitation Hospital, Inc
• Alva Nestor, LCSW
• Lynn Paige Nestor, RN, MSN,CNS
• Staci Newsom, LPC
• Nexus Medical Supplies LLC

• Foster Care Agency in Lorton, VA
• Providers in Lorton, VA by specialty
• Foster Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; 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.