Mentor Abi

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MENTOR ABI

Doing business as

NeuroRestorative Pennsylvania

Practice address

6816 W Lake Rd
Fairview, PA 16415-1645

Phone

(813) 626-1444

Fax

(813) 621-0770

NPI assigned

Mar 25, 2010

Last updated

Sep 25, 2022By 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

Sergio P Cruz

Title

Cfo

Phone

(781) 708-9444

Specialties & licenses 3

Addresses

Other names 1

• NeuroRestorative Pennsylvania Doing business as

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

CLIA laboratory certificates

Tax ID family

Mentor Abillc Dba Neurorestorative Iowa37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

• Mentor Abi

  dba NeuroRestorative New

  • Rehabilitation Hospital
  • Braintree, MA
  • NPI 1013236124
  NPD tax ID
• Mentor Abi

  dba Pleasanton

  • Rehabilitation Hospital
  • Pleasanton, CA
  • NPI 1023338639
  NPD tax ID
• Mentor Abi

  dba Neurorestorative New Jersey

  • Rehabilitation Hospital
  • Galloway, NJ
  • NPI 1265908388
  NPD tax ID
• Mentor Abi

  dba Scottsdale

  • Rehabilitation Hospital
  • Scottsdale, AZ
  • NPI 1366762296
  NPD tax ID
• Mentor Abi

  dba Oregon Orchid

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
  • NPI 1558686576
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative Rhode Island

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Charlestown, RI
  • NPI 1639476617
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative Wisconsin

  • Mental Illness Community Based Residential Treatment Facility
  • Waterford, WI
  • NPI 1649574252
  NPD tax ID
• Mentor Abi

  dba NeuroRestorative New Jersey

  • Rehabilitation Hospital
  • Mount Laurel, NJ
  • NPI 1740596568
  NPD tax ID
• Mentor Abi, LLC

  dba NeuroRestorative Maine

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sebago, ME
  • NPI 1033426739
  NPD tax ID
• Mentor Abi, LLC

  dba NeuroRestorative Texas

  • Assisted Living Facility
  • Tyler, TX
  • NPI 1043322308
  NPD tax ID
• Mentor Abi, LLC

  dba NeuroRestorative San Antonio

  • Rehabilitation Hospital
  • Castle Hills, TX
  • NPI 1043581937
  NPD tax ID
• Mentor Abi, LLC

  • Rehabilitation Hospital
  • Westerville, OH
  • NPI 1144544289
  NPD tax ID

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664064000000",
    "number": "1922322502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WASHINGTON ST STE 306",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 W LAKE RD",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164151645",
            "telephone_number": "813-626-1444",
            "fax_number": "813-621-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR ABI",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "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"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroRestorative Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NeuroRestorative Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Gerard Mannino, D.C.
• Renee Charleen Martin, PTA
• Blair Mead, LPC
• Medical Associates of Erie (Fairview Family Medicine)
• Tiffany Melendez, LSW
• Carolyn R Michael
• Milestones Therapy LLC
• Robert Milnes II, PHARMD
• Jenna Lea Moran, PTA
• Natalia Munoz, OTR

• Assisted Living Facility in Fairview, PA
• Providers in Fairview, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2022; 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.