NATIONAL MENTOR HEALTHCARE, LLC


Address: 10 Dewitt St, Jacksonville, NC 28540-5649
Phone: 9102193120

NATIONAL MENTOR HEALTHCARE, LLC (NPI# 1174840292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174840292
Entity Type Organization
Organization Name NATIONAL MENTOR HEALTHCARE, LLC
Other Organization Name NORTH CAROLINA MENTOR
Practice Address 10 Dewitt St
Jacksonville
NC 28540-5649
Mailing Address 3125 Poplarwood Ct
Suite 300
Raleigh
NC 27604-1084
Practice Telephone 9102193120
Practice Fax Number 9102193241
Mailing Telephone 9197908580
Mailing Fax Number 9193410231
Enumeration Date 2010-04-29
Last Update Date 2012-06-14
Authorized Official Name SCOTT MARTIN (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9197908580
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare Agencies

Other Provider/Organization Names

Other Name Type Code
North Carolina Mentor Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1730644725 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 4 Dogwood Ct, Hackettstown, NJ 07840-4800 2019-02-05
1568927556 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 143 Meadows Rd, Lafayette, NJ 07848-3120 2019-02-05
1548725534 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 23 Waterloo Rd, Stanhope, NJ 07874-3449 2019-02-05
1891250882 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 4 Tall Oaks Rd, Somerset, NJ 08873-3033 2019-02-05
1154886141 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 15 Rockleigh Dr, Ewing, NJ 08628-1516 2019-02-05
1366907354 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 23 Pritchard Ln, Sicklerville, NJ 08081-2013 2019-02-05
1114482007 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 270 Smithburg Rd, Manalapan, NJ 07726-8122 2019-02-05
1376008367 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 521 Townsbury Rd, Great Meadows, NJ 07838-2043 2019-02-05
1225593213 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 266 Jackson Mills Rd, Freehold, NJ 07728-8057 2019-02-05
1790235539 National Mentor Healthcare, LLC Residential Treatment Facility, Emotionally Disturbed Children 8 Dugans Grv, Millstone Twp, NJ 08535-8014 2016-10-05

Other Data Sources

Entity Type Entity Name Entity Address
Oklahoma Business Registrations NATIONAL MENTOR HEALTHCARE, LLC 313 Congress St., Boston, MA 02210
Indiana Business Entities NATIONAL MENTOR HEALTHCARE, LLC 313 Congress St, 5th Floor, Boston, MA 02210

Office Location

Street Address 10 DEWITT ST
City JACKSONVILLE
State NC
Zip Code 28540-5649

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467067785 Knox Counseling and Consulting, PC Case Management 513 New Bridge St-suite 500, Jacksonville, NC 28540 2020-09-14
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1639793748 Johnathon T Brewer Military Health Care Provider 100 White St, Jacksonville, NC 28540 2020-06-04
1043782899 Brice Rivra Military Health Care Provider Rr 612 Loop Road, Jacsksonvile, NC 28540 2018-12-18
1649768599 Alexander John Pybus Student in an Organized Health Care Education/Training Program White St Bldg As-100, Jacksonville, NC 28540 2018-04-26
1881198182 Orleiquis Guerra Military Health Care Provider Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 2018-03-21
1558864736 Andrew Louis Monroe General Practice As-100 White Street, Jacksonville, NC 28540 2018-03-14
1588183198 Citizen Community Transport, LLC Private Vehicle 220 Foxwood Ct., Jacksonville, NC 28540 2017-09-14
1558886242 Brandon Jay Smith Military Health Care Provider E Street Bldg G770, Camp Lejeune, NC 28540 2017-08-03
1174043244 Jason Waters Military Health Care Provider White St, Bldg As-100, Jacksonville, NC 28540 2017-06-21
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Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326670357 Blackstone Home Healthcare LLC Public Health or Welfare 101 Century 21 Dr Ste 208, Jacksonville, FL 32216-9293 2020-02-07
1427413855 Lindsey Pest Services Inc. Public Health or Welfare 9168 Parker Ave, Jacksonville, FL 32218-5758 2015-12-30
1730398827 Cherokee County Health Department Public Health or Welfare 510 East Commerce, Jacksonville, TX 75766 2007-05-22
1316974595 County of Morgan Health Dept Public Health or Welfare 345 W State Street, Jacksonville, IL 62650-1879 2006-06-26
1093781064 Cms Jacksonville Public Health or Welfare 910 North Jefferson Street, Jacksonville, FL 32209-6810 2006-02-28
1528034170 Florida Department of Health Public Health or Welfare 900 University Blvd N, Mc-75, Jacksonville, FL 32211-5530 2006-02-24
1568448587 County of Onslow Public Health or Welfare 234 Nw Corridor Blvd, Jacksonville, NC 28540-5309 2005-12-21
1922616788 May Enterprises LLC Public Health or Welfare 12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258-9486 2020-07-17
1700369857 Theresa Council LLC Public Health or Welfare 2815 Melson Ave, Jacksonville, FL 32254-1853 2018-09-13
1134619208 Omega Health and Nutrition LLC Public Health or Welfare 2624 Atlantic Blvd, Jacksonville, FL 32207-3609 2018-05-15
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Competitor

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City JACKSONVILLE
Zip Code 28540

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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