NATIONAL MENTOR HEALTHCARE, LLC (NPI# 1336324987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336324987 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE, LLC |
| Other Organization Name | NC MENTOR |
| Practice Address |
800 Jefferson St Suite 114 Whiteville NC 28472-3710 |
| Mailing Address |
3125 Poplarwood Ct Suite 300 Raleigh NC 27604-1084 |
| Practice Telephone | 9106423598 |
| Practice Fax Number | 9106423815 |
| Mailing Telephone | 9197908580 |
| Mailing Fax Number | 9197908065 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-04-20 |
| 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 | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| NC 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 |
| Street Address |
800 JEFFERSON ST SUITE 114 |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588624217 | Hemantkumar Patel | Internal Medicine | 800 Jefferson St, Ste 112, Whiteville, NC 28472-3710 | 2006-03-25 |
| 1124496963 | Pinnacle Family Services of North Carolina LLC | Counselor | 800 Jefferson St, Suite 114, Whiteville, NC 28472-3710 | 2015-09-10 |
| 1194117572 | Columbus Rural Health Center, Inc | Internal Medicine | 800 Jefferson St, Suite 113, Whiteville, NC 28472-3710 | 2015-02-23 |
| 1508257221 | Shannon Blankenbeckler | Nurse Practitioner | 800 Jefferson St, Whiteville, NC 28472-3710 | 2015-02-17 |
| 1588905566 | Andres Mauricio Pineda Maldonado | Internal Medicine | 800 Jefferson St, Suite 102, Whiteville, NC 28472-3710 | 2013-03-15 |
| 1245589795 | Carenet, Inc. | Counselor | 800 Jefferson St, Ste 112, Whiteville, NC 28472-3710 | 2012-08-30 |
| 1871889568 | Elizabeth Erin Bickell | Physician Assistant | 800 Jefferson St, Suite 113, Whiteville, NC 28472-3710 | 2011-06-22 |
| 1508162280 | Carolina Healthcare Associates Inc | Internal Medicine | 800 Jefferson St, Ste 112, Whiteville, NC 28472-3710 | 2011-01-28 |
| 1013111590 | John Jasper Wilkins IIi | Pediatrics | 800 Jefferson St, Suite 116, Whiteville, NC 28472-3710 | 2007-06-11 |
| 1811088081 | Clarence Williams | Counselor | 800 Jefferson St, Suite 113, Whiteville, NC 28472-3710 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205185378 | Shenicka Mccollum | Counselor | 156 Mosley Moore Dr, Whiteville, NC 28472-8647 | 2012-09-05 |
| 1659471928 | Kimberly L. Steed | Counselor | 805 N Franklin St, Suite 8, Whiteville, NC 28472-2703 | 2006-09-25 |
| 1629686381 | Courtney Briann Blackledge | Counselor | 110 Premiere Plz, Whiteville, NC 28472-2522 | 2020-07-20 |
| 1275991150 | Lenzy O'dell Graham | Counselor | 603 S Madison St, Whiteville, NC 28472-4129 | 2016-02-05 |
| 1124496963 | Pinnacle Family Services of North Carolina LLC | Counselor | 800 Jefferson St, Suite 114, Whiteville, NC 28472-3710 | 2015-09-10 |
| 1285046565 | Kayla Bowen | Counselor | 732 Davis Ave, Whiteville, NC 28472-6002 | 2014-05-21 |
| 1164775961 | Ethel Dolores Warner | Counselor | 118 E Walter St, Whiteville, NC 28472-4142 | 2012-10-18 |
| 1801146725 | Anajinette Owens | Counselor | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2012-09-18 |
| 1336498468 | Erin Bosley Warlick | Counselor | 732 Davis Ave, Whiteville, NC 28472-6002 | 2012-09-05 |
| 1245589795 | Carenet, Inc. | Counselor | 800 Jefferson St, Ste 112, Whiteville, NC 28472-3710 | 2012-08-30 |
| Find all providers in WHITEVILLE | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
Please comment or provide details below to improve the information on NATIONAL MENTOR HEALTHCARE, LLC.
| 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.