Active NPI
Mentis Adult Services LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Manchester, NH
National Provider Identifier
1982406484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- MENTIS ADULT SERVICES LLC
- Practice address
- 463 Beech St Apt 1
Manchester, NH 03103-6295 - Phone
- (603) 506-7437
- NPI assigned
- Mar 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Djems Mbanza Kwembe, B.ED
- Title
- Chief Operating Officer
- Phone
- (603) 820-3216
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
463 Beech St Apt 1
Manchester, NH 03103-6295
Mailing address
463 Beech St Apt 1
Manchester, NH 03103-6295
Phone (603) 506-7437
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1982406484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 BEECH ST APT 1",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031036295",
"telephone_number": "603-506-7437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 BEECH ST APT 1",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031036295",
"telephone_number": "603-506-7437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTIS ADULT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-25",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "KWEMBE",
"authorized_official_first_name": "DJEMS",
"authorized_official_middle_name": "MBANZA",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "603-820-3216",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "B.ED"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.