MENTOR ABI, LLC (NPI# 1396254959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396254959 |
Entity Type | Organization |
Organization Name | MENTOR ABI, LLC |
Other Organization Name | NEURORESTORATIVE NEW JERSEY |
Practice Address |
1203 Crofton Ct Mount Laurel NJ 08054-4221 |
Mailing Address |
980 Washington St Ste 306 Dedham MA 02026-6731 |
Practice Telephone | 8568242907 |
Enumeration Date | 2017-09-27 |
Last Update Date | 2017-09-27 |
Authorized Official Name | SERGIO P CRUZ (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 7817087444 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283X00000X | Rehabilitation Hospital | Hospitals |
Other Name | Type Code |
---|---|
Neurorestorative New Jersey | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639733058 | Mentor Abi, LLC | Psychologist | 4910 Corporate Centre Dr Ste 120, Lawrence, KS 66047-1002 | 2019-05-01 |
1679082234 | Mentor Abi, LLC | Rehabilitation Hospital | 115 Evans Ct, Mount Laurel, NJ 08054-4202 | 2017-09-27 |
1386153922 | Mentor Abi, LLC | Rehabilitation Hospital | 8008 Route 130 Ste 400, Delran, NJ 08075-1869 | 2017-09-27 |
1386170504 | Mentor Abi, LLC | Rehabilitation Hospital | 2021 Cavalier Way, Sioux City, IA 51109-1176 | 2017-05-08 |
1619410701 | Mentor Abi, LLC | Rehabilitation Hospital | 1126 Florence Ave, Sioux City, IA 51109-1017 | 2016-11-22 |
1609224203 | Mentor Abi, LLC | Rehabilitation Hospital | 6006 Beverly Rd Sw, Cedar Rapids, IA 52404-7114 | 2016-05-25 |
1801274824 | Mentor Abi, LLC | Rehabilitation Hospital | 2803 262nd St, De Witt, IA 52742-9429 | 2015-05-11 |
1588042733 | Mentor Abi, LLC | Rehabilitation Hospital | 4102 Nw 2nd Ct, Ankeny, IA 50023-6803 | 2015-05-08 |
1215330444 | Mentor Abi, LLC | Rehabilitation Hospital | 3201 Davis Rd, Indianapolis, IN 46239-9305 | 2014-10-02 |
1497160451 | Mentor Abi, LLC | Community/Behavioral Health | 3601 Windemere Pl, Raleigh, NC 27604-5961 | 2014-06-27 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MENTOR ABI, LLC | 313 Congress St, Boston, MA 02210-1218 |
Iowa Business Entities | MENTOR ABI, LLC | 313 Congress Street 5th Floor, Boston, MA 02210 |
Oklahoma Business Registrations | MENTOR ABI, LLC | 313 Congress St 5th Fl, C/o The Mentor Network, Boston, MA 02210 |
Indiana Business Entities | MENTOR ABI, LLC | 313 Congress St, 5th Fl, Boston, MA 02210 |
Street Address |
1203 CROFTON CT |
City | MOUNT LAUREL |
State | NJ |
Zip Code | 08054-4221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
Find all providers in zip 08054 |
Taxonomy Code | 283X00000X |
Grouping | Hospitals |
Classification | Rehabilitation Hospital |
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679082234 | Mentor Abi, LLC | Rehabilitation Hospital | 115 Evans Ct, Mount Laurel, NJ 08054-4202 | 2017-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265908388 | Mentor Abi | Rehabilitation Hospital | 115a Leeds Point Rd, Galloway, NJ 08205-4211 | 2018-10-16 |
1225526247 | Progressive Living Units Systems, Inc | Rehabilitation Hospital | 214 W Maple Ave, Merchantville, NJ 08109-2018 | 2018-04-25 |
1386153922 | Mentor Abi, LLC | Rehabilitation Hospital | 8008 Route 130 Ste 400, Delran, NJ 08075-1869 | 2017-09-27 |
1861927626 | Nutrasource, Rd LLC | Rehabilitation Hospital | 2679 Highway 70 Ste 1a, Manasquan, NJ 08736-2706 | 2017-04-28 |
1306186762 | Robert Wood Johnson University | Rehabilitation Hospital | 39 Oakland Ave Apt 23, Bloomfield, NJ 07003-3498 | 2013-02-22 |
1770515165 | Bacharach Institute for Rehabilitation Inc | Rehabilitation Hospital | 61 West Jimmie Leeds Road, Pomona, NJ 08240-0723 | 2006-07-07 |
1669446324 | Mmc Encompass Health Rehabilitation Hospital, LLC | Rehabilitation Hospital | 2 Center Plz, Tinton Falls, NJ 07724-9744 | 2006-02-16 |
1629053087 | Morris Hall St. Lawrence Inc. | Rehabilitation Hospital | 2381 Lawrenceville Rd, Lawrenceville, NJ 08648-2025 | 2005-12-08 |
1326682121 | Kessler Pediatric Therapy, Inc. | Rehabilitation Hospital | 5 Roosevelt Avenue, Townsquare, Suite A, Chatham, NJ 07928 | 2019-11-05 |
1437627577 | Atlantic Rehabilitation Institute, LLC | Rehabilitation Hospital | 200 Madison Avenue, Madison, NJ 07940 | 2018-11-07 |
Find all providers with the same taxonomy |
City | MOUNT LAUREL |
Zip Code | 08054 |
Please comment or provide details below to improve the information on MENTOR ABI, 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.