National Mentor Healthcare,LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

13051 Issued in LA

Legal business name

NATIONAL MENTOR HEALTHCARE,LLC

Doing business as

Louisiana Mentor

Practice address

1890 Hudson Cir
Suite 12
Monroe, LA 71201-3538

Phone

(318) 410-8823

NPI assigned

Jun 9, 2010

Last updated

Mar 19, 2023By the provider in NPPES

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

Title

Coo

Phone

(800) 388-5150

Specialties & licenses 1

Addresses

Other names 1

• LOUISIANA MENTOR Doing business as

Tax ID family

California Mentor336 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679184000000",
    "number": "1831419134",
    "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": "617-790-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 HUDSON CIR",
            "address_2": "SUITE 12",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013538",
            "telephone_number": "318-410-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MENTOR HEALTHCARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "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"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "LA",
            "license": "13051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOUISIANA MENTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amelia R Nash, PHARM D
• April Nash
• Dustin Nash, APRN FNP-C
• Jaslyn Nash, LMT
• Acqunetta Nathan
• Sharon Natt
• Nature Care, Inc.
• Matthew Thomas Navarro, PA
• Tanya Nazar, MD
• Neal W.Angrum (faith and hope independent living)

• Foster Care Agency in Monroe, LA
• Providers in Monroe, LA by specialty
• Foster Care Agency in Louisiana

• 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.