NPIMap

Organization Active NPI

National Mentor Healthcare

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1851604599
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1041C0700X Issued in NC
Legal business name
NATIONAL MENTOR HEALTHCARE
Practice address
7 Oak Branch Dr Ste C
Greensboro, NC 27407-2392
Phone
(336) 856-1140
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Ms. Bonita McKoy
Title
Therapist
Phone
(336) 765-8912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1041C0700X NC Primary

Addresses

Primary practice location

7 Oak Branch Dr Ste C
Greensboro, NC 27407-2392

Mailing address

7 Oak Branch Dr Ste C
Greensboro, NC 27407-2392
Phone (336) 856-1140

Other identifiers 1

IdentifierTypeStateIssuer
8300268HMedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1851604599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OAK BRANCH DR STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072392",
            "telephone_number": "336-856-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OAK BRANCH DR STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072392",
            "telephone_number": "336-856-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MENTOR HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "MCKOY",
        "authorized_official_first_name": "BONITA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "336-765-8912",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300268H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

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