NPIMap

Organization Active NPI

Mentor Abi,LLC D/B/a Neurorestorative Iowa

  • Rehabilitation Hospital
  • Cedar Rapids, IA
National Provider Identifier
1780242925
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
MENTOR ABI,LLC D/B/A NEURORESTORATIVE IOWA
Practice address
2340 C St SW
Cedar Rapids, IA 52404-3753
Phone
(563) 321-5706
NPI assigned
Jun 3, 2019
Organization subpart
Yes
Parent organization
MENTOR ABI,LLC D/B/A NEURORESTORATIVE IOWAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Authorized official

Name
Mr. Sergio P Cruz
Title
Cfo
Phone
(781) 708-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

2340 C St SW
Cedar Rapids, IA 52404-3753

Mailing address

2340 C St SW
Cedar Rapids, IA 52404-3753
Phone (563) 321-5706

Other names 1

  • Neurorestorative Iowa Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2236597Neurorestorative Iowa - C Street2340 C Street SW, Cedar Rapids, IA 52404Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mentor Abi37 organizations share this tax ID, including this one
Part of
Mentor Abi

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

2340 C St SW
Cedar Rapids, IA 52404
Phone (563) 321-5706

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1780242925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 C ST SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043753",
            "telephone_number": "563-321-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 C ST SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043753",
            "telephone_number": "563-321-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR ABI,LLC D/B/A NEURORESTORATIVE IOWA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENTOR ABI,LLC D/B/A NEURORESTORATIVE IOWA",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurorestorative Iowa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.