MENTOR ABI, LLC (NPI# 1629190269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629190269 |
| Entity Type | Organization |
| Organization Name | MENTOR ABI, LLC |
| Other Organization Name | BRAINTREE |
| Practice Address |
1107 Middle St Weymouth MA 02190-1819 |
| Mailing Address |
980 Washington St Ste 306 Dedham MA 02026-6797 |
| Practice Telephone | 7817089444 |
| Mailing Telephone | 7817089444 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2018-12-12 |
| Authorized Official Name | SERGIO P CRUZ (CFO) |
| Authorized Official Telephone | 7817089444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1901702 | 05 |
| Other Name | Type Code |
|---|---|
| Braintree | Other Name - Individual/Organization |
| NeuroRestorative Massachusetts | 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 |
| 1396254959 | Mentor Abi, LLC | Rehabilitation Hospital | 1203 Crofton Ct, Mount Laurel, NJ 08054-4221 | 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 |
| 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 |
1107 MIDDLE ST |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02190-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| 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 |
|---|---|---|---|---|
| 1588854293 | Debra Maureen Clooney | Rehabilitation Hospital | 63 Bradley Rd, Weymouth, MA 02191-1901 | 2007-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760676126 | Jay E Rosenfeld Md PC | Rehabilitation Hospital | 25 Hawkins Pl, Duxbury, MA 02332-4537 | 2007-08-29 |
| 1023139409 | Fs Commonwealth LLC | Rehabilitation Hospital | 333 Park St, Nerh Mclaughlin House, North Reading, MA 01864-2717 | 2007-04-03 |
| 1922128115 | Fs Commonwealth LLC | Rehabilitation Hospital | 17 Warren Ave, Nerh Warren House, Woburn, MA 01801-4936 | 2007-03-30 |
| 1639225600 | Center for Comprehensive Services | Rehabilitation Hospital | 13 Susan Road, S. Easton, MA 02375-1608 | 2007-01-25 |
| 1790329878 | Delta Projects, Inc. | Rehabilitation Hospital | 118 Allied Dr, Dedham, MA 02026-6146 | 2019-11-01 |
| 1982112421 | Maria Kim M.d. Internal Medicine, LLC | Rehabilitation Hospital | 111 Huntoon Memorial Hwy, Rochdale, MA 01542-1305 | 2018-01-18 |
| 1932563665 | Danielle Young | Rehabilitation Hospital | 250 Pond St, Braintree, MA 02184-5351 | 2016-04-08 |
| 1851769533 | Spaulding Rehabilitation Hospital | Rehabilitation Hospital | 300 1st Ave, Charlestown, MA 02129-3109 | 2015-09-11 |
| 1962839316 | Encompass Health Rehabilitation Hospital of Braintree, LLC | Rehabilitation Hospital | 250 Pond St, Braintree, MA 02184-5351 | 2013-10-01 |
| 1215364682 | Encompass Health Rehabilitation Hospital of New England, LLC | Rehabilitation Hospital | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2013-10-01 |
| 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.