NATIONAL MENTOR HEALTHCARE LLC. (NPI# 1255790572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255790572 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE LLC. |
| Other Organization Name | CREATIVE HOME PROGRAMS |
| Practice Address |
9166 Anaheim Pl Ste 200 Rancho Cucamonga CA 91730-8547 |
| Practice Telephone | 9099487499 |
| Mailing Telephone | 9099487499 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | MRS. CLAIRE WILLIAMSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9094832505 |
| Is Organization Subpart | Y |
| Parent Organization Name | NATIONAL MENTOR HEALTHCARE LLC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Creative Home Programs | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | National Mentor Healthcare LLC | The Mentor Network, 313 Congress St 5th Fl, Boston, Massachusetts 02210 |
| Street Address |
9166 ANAHEIM PL STE 200 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-8547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194157008 | National Mentor Healthcare, LLC | Community/Behavioral Health | 9166 Anaheim Pl Ste 200, Rancho Cucamonga, CA 91730-8547 | 2013-08-01 |
| 1710469192 | Stacey A Risotti | Social Worker | 9166 Anaheim Pl Ste 200, Rancho Cucamonga, CA 91730-8547 | 2018-09-03 |
| 1275061194 | Miguelina Mixon | Counselor | 9166 Anaheim Pl Ste 200, Rancho Cucamonga, CA 91730-8547 | 2017-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181778 | Elvia Cortes | Community/Behavioral Health | 6323 Sloane Ct, Rancho Cucamonga, CA 91739-2255 | 2020-10-12 |
| 1699301978 | Healing Logos Christian Family Counseling, Inc. | Community/Behavioral Health | 9567 Arrow Rte Ste P, Rancho Cucamonga, CA 91730-4550 | 2020-03-18 |
| 1063061117 | County of San Bernardino | Community/Behavioral Health | 9445 Fairway View Pl Ste 110, Rancho Cucamonga, CA 91730-0930 | 2019-09-10 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1548724313 | Counseling & Research Associates, Inc. | Community/Behavioral Health | 11850 Sebastian Way Ste 104, Rancho Cucamonga, CA 91730-0703 | 2019-01-25 |
| 1841709193 | Living Hope Counseling Center | Community/Behavioral Health | 9650 Business Center Dr Ste 107, Rancho Cucamonga, CA 91730-4536 | 2017-09-28 |
| 1053861922 | West End Family Counseling Service | Community/Behavioral Health | 9445 Fairway View Pl Ste 100, Rancho Cucamonga, CA 91730-0930 | 2016-10-04 |
| 1255716056 | Steven H Troyer | Community/Behavioral Health | 11725 Rapallo Dr, Rancho Cucamonga, CA 91701-8641 | 2015-07-22 |
| 1881081362 | Cucamonga Counseling | Community/Behavioral Health | 9565 Business Center Dr Ste C, Rancho Cucamonga, CA 91730-4560 | 2015-04-22 |
| 1194157008 | National Mentor Healthcare, LLC | Community/Behavioral Health | 9166 Anaheim Pl Ste 200, Rancho Cucamonga, CA 91730-8547 | 2013-08-01 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
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| 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.