NATIONAL MENTOR HEALTHCARE, LLC. (NPI# 1295883593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295883593 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE, LLC. |
| Other Organization Name | NC MENTOR |
| Practice 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 | 2007-01-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHARLES DAVIS (STATE DIRECTOR) |
| Authorized Official Telephone | 9197908580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408668 | 05 |
| Other Name | Type Code |
|---|---|
| NC MENTOR | Doing Business As Name - Organization |
| 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 |
| Street Address |
3125 POPLARWOOD CT SUITE 300 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-1084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073557773 | Jewell S Mabery | Nurse Practitioner | 3125 Poplarwood Ct, Aspen Bldg, Suite 100, Raleigh, NC 27604-1084 | 2006-06-15 |
| 1700494572 | Vanessa Del Carmen | Counselor | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2020-07-17 |
| 1740809342 | Brittani Smith | Social Worker | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2020-04-13 |
| 1114586914 | Leah C Filomena | Social Worker | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2019-06-06 |
| 1437611902 | Jillian Elizabeth Lehmann | Social Worker | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2019-04-03 |
| 1124582929 | Anna Holloman | Social Worker | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2019-01-25 |
| 1417411422 | Hayley York Teague | Counselor | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2019-01-23 |
| 1568931855 | Doreen Lynn Miller | Counselor | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2018-11-16 |
| 1225517550 | Halee Spence Smith | Social Worker | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2018-08-08 |
| 1538695424 | Serena Wilson | Social Worker | 3125 Poplarwood Ct, Suite 103, Raleigh, NC 27604-1084 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 1851890750 | Sasilana Letreva Burden | In Home Supportive Care | 4000 Northstone Drive Apt 307, Raleigh, NC 27604 | 2018-02-06 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1902326044 | Ngozi Ifeoma Osiebo | Nurse Practitioner | 4608 Wedgewood Drive, Raleigh, NC 27604 | 2017-06-20 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1972969913 | Shivas Gilotra | Nurse Practitioner | 805 Oberlin Road, Ste 200, Raleigh, NC 27604 | 2016-01-06 |
| 1609247915 | Charisse Justine Young | Social Worker | 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 | 2015-10-13 |
| 1356748933 | John T Hart | Counselor | 1115-113 Cove Bridge Road, Raleigh, NC 27604 | 2014-11-26 |
| Find all providers in zip 27604 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902346067 | Nc Community Care Services Inc | Day Training, Developmentally Disabled Services | 555 Fayetteville Street, Ste. 201, Raleigh, NC 27601 | 2017-03-08 |
| 1962888396 | A Gentle Touch Home Care | Day Training, Developmentally Disabled Services | 8426 Berkshire Village Ct, Raleigh, NC 27616-7714 | 2015-08-07 |
| 1619374576 | Your Choice Services, Inc. | Day Training, Developmentally Disabled Services | 6737 Six Forks Rd, B2, Raleigh, NC 27615-6423 | 2014-11-20 |
| 1346644143 | Your Choice Services, Inc. | Day Training, Developmentally Disabled Services | 3640 Castlegate Dr, Raleigh, NC 27616-9551 | 2014-10-22 |
| 1639571318 | Your Choice Services, Inc. | Day Training, Developmentally Disabled Services | 6749 B4 Six Forks Rd, Raleigh, NC 27615-6424 | 2014-09-24 |
| 1730581596 | Hudson Home | Day Training, Developmentally Disabled Services | 4313 Emmit Dr, Raleigh, NC 27604-4788 | 2014-09-23 |
| 1821497058 | New Beginnings of Nc, LLC | Day Training, Developmentally Disabled Services | 4280 Saubranch Hill St, Raleigh, NC 27616-5999 | 2014-08-13 |
| 1346668738 | Brighthaven Homes | Day Training, Developmentally Disabled Services | 2705 Brighthaven Dr, Raleigh, NC 27614-6745 | 2014-04-02 |
| 1710303151 | Tlc Operations, Inc. | Day Training, Developmentally Disabled Services | 747 Chappell Drive, Raleigh, NC 27606-3215 | 2014-03-10 |
| 1720415532 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 5127 Wetlands Drive, Raleigh, NC 27610 | 2013-10-11 |
| Find all providers in RALEIGH | ||||
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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.