NATIONAL MENTOR HEALTHCARE, LLC (NPI# 1275862492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275862492 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE, LLC |
| Other Organization Name | NORTH CAROLINA MENTOR |
| Practice Address |
150 Mcdonald Street West End NC 27376 |
| Mailing Address |
3125 Poplarwood Ct Suite 300 Raleigh NC 27604-1084 |
| Practice Telephone | 9197908580 |
| Practice Fax Number | 9197908065 |
| Mailing Telephone | 9197908580 |
| Mailing Fax Number | 9197908065 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |
| Authorized Official Name | CHARLES DAVIS (STATE DIRECTOR) |
| Authorized Official Telephone | 9197908580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| North Carolina Mentor | Doing Business As Name - Organization |
| 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 |
| 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 |
| Washington State Corporations | NATIONAL MENTOR HEALTHCARE, LLC | 313 Congress St, 5th Floor, Boston, MA 02210 |
| Street Address |
150 MCDONALD STREET |
| City | WEST END |
| State | NC |
| Zip Code | 27376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811518244 | Haven Total Wellness, Pllc | Clinic/Center | 149 Woodlawn St Suite C, West End, NC 27376 | 2020-04-27 |
| 1194355438 | Care You Can Afford | Home Infusion | 124 North Trade Street, Seven Lakes, NC 27376 | 2020-01-24 |
| 1962959528 | Kerry Goldman | Social Worker | 980 7 Lakes Drive, West End, NC 27376 | 2016-09-01 |
| 1689120990 | Kara L. Jensen Pllc | Counselor | 125 Wren Tree Court, West End, NC 27376 | 2016-08-28 |
| 1881002459 | Seven Lakes Physical Therapy, LLC | Physical Therapist | 4355 Nc Hwy 211 Suite C/d, West End, NC 27376 | 2014-07-28 |
| 1730515958 | Hearing Solutions of The Sandhills | Hearing Aid Equipment | 125 N. Trade Street, West End, NC 27376 | 2013-09-19 |
| 1598191827 | Val K Scantlin | Hearing Instrument Specialist | 125 N. Trade St, West End, NC 27376 | 2013-09-18 |
| 1912288663 | Firsthealth of The Carolinas, Inc. | Hospice Care, Community Based | 251 Campground Road, West End, NC 27376 | 2011-09-07 |
| 1396048716 | Seven Lakes Prescription Shoppe, Inc | Pharmacy | 120 Macdougall Drive, West End, NC 27376 | 2010-12-07 |
| 1992005755 | Ashley L Williams | Speech-Language Pathologist | 1163 7 Lakes Dr, West End, NC 27376 | 2010-10-27 |
| Find all providers in zip 27376 | ||||
| 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 |
|---|---|---|---|---|
| 1780091629 | Monarch | Community/Behavioral Health | 106 Old West End School Lane, West End, NC 27376-0000 | 2014-07-11 |
| 1720411176 | Jodi Morris | Community/Behavioral Health | 153 Vivian St, West End, NC 27376-8376 | 2013-08-20 |
| 1710263306 | Living To Be Free, Pllc | Community/Behavioral Health | 4415 Murdocksville Rd, West End, NC 27376-8899 | 2011-10-26 |
| 1043443096 | Independent Assessment Consultants, Ltd. | Community/Behavioral Health | 116 Mac Dougall Drive, West End, NC 27376 | 2009-08-25 |
| 1013150408 | Cnc Access Inc | Community/Behavioral Health | 1030 7 Lakes Dr, West End, NC 27376-9081 | 2009-04-14 |
| 1649315334 | National Mentor Healthcare, LLC | Community/Behavioral Health | 241 Grant St, West End, NC 27376-8377 | 2007-02-20 |
| 1356701528 | Moore Pediatric Therapy Serivces | Community/Behavioral Health | 1163 Seven Lakes Dr, West End, NC 27376-9752 | 2016-03-02 |
| 1992130793 | The Wise Owl Parenting Company | Community/Behavioral Health | 153 Vivian St, West End, NC 27376-8376 | 2013-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.