NPIMap

Organization Active NPI

National Mentor Healthcare LLC

Doing business as Indiana MENTOR

  • Foster Care Agency
  • Indianapolis, IN
National Provider Identifier
1801107941
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
NATIONAL MENTOR HEALTHCARE LLC
Doing business as
Indiana MENTOR
Practice address
8925 N Meridian St
Ste. 250
Indianapolis, IN 46260-2386
Phone
(317) 581-2380
Fax
(317) 581-2387
NPI assigned
Jun 23, 2010
Last updated
Jun 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Amanda Heckelsberg Richey, MA
Title
New Services Program Supervisor
Phone
(317) 581-2380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

8925 N Meridian St
Ste. 250
Indianapolis, IN 46260-2386

Mailing address

8925 N Meridian St
Ste. 250
Indianapolis, IN 46260-2386
Phone (317) 581-2380

Other names 1

  • Indiana MENTOR Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1801107941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 N MERIDIAN ST",
            "address_2": "STE. 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602386",
            "telephone_number": "317-581-2380",
            "fax_number": "317-581-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 N MERIDIAN ST",
            "address_2": "STE. 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602386",
            "telephone_number": "317-581-2380",
            "fax_number": "317-581-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MENTOR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "RICHEY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "HECKELSBERG",
        "authorized_official_title_or_position": "NEW SERVICES PROGRAM SUPERVISOR",
        "authorized_official_telephone_number": "317-581-2380",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana MENTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.