Organization Active NPI

Mentis Adult Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Manchester, NH
National Provider Identifier
1982406484
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Mar 25, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.