Mentis Ohio, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

MENTIS OHIO, LLC

Practice address

6111 Oak Tree Blvd
Independence, OH 44131-2589

Phone

(713) 820-4200

NPI assigned

Jun 9, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly K Duclos, BA

Title

Director of Revenue Cycle MGMT

Phone

(713) 820-4212

Specialties & licenses 2

Addresses

Tax ID family

Mentis Ohio LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mentis Ohio, LLC

  • Physical Disabilities Residential Treatment Facility
  • Blue Ash, OH
  • NPI 1073042248
  NPD tax ID
• Mentis Ohio, LLC

  • Physical Disabilities Residential Treatment Facility
  • Stow, OH
  • NPI 1245518539
  NPD tax ID

Locations

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496966400000",
    "number": "1871022046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S STE 410",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013519",
            "telephone_number": "713-820-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 OAK TREE BLVD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312589",
            "telephone_number": "713-820-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTIS OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A",
        "authorized_official_last_name": "DUCLOS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE MGMT",
        "authorized_official_telephone_number": "713-820-4212",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Eye Associates of Cleveland Professional Corporation
• Medicare Transport Inc
• Rajendra Kumar Mehta, M.D.
• Jeanette Margaret Gatan Mendoza, CNP
• Sarah Menger, APRN
• Dominique Mercer
• William M Merritt
• Corine Ashley Miller, LISW
• Jamie Lee Miller, APRN
• Michael Lewis Miller, PHD

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Independence, OH
• Providers in Independence, OH by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; 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.