NATIONAL MENTOR HEALTHCARE, LLC (NPI# 1649650730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649650730 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE, LLC |
| Other Organization Name | NEW JERSEY MENTOR |
| Practice Address |
131 Mountainview Rd Ewing NJ 08560-1226 |
| Mailing Address |
80 Cottontail Ln Suite 330 Somerset NJ 08873-1100 |
| Practice Telephone | 7326279890 |
| Mailing Telephone | 7326279890 |
| Mailing Fax Number | 7325636780 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |
| Authorized Official Name | MR. DANIEL QUINN (OPERATIONS ADMINISTRATION COORD.) |
| Authorized Official Telephone | 7326279890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| New Jersey 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 |
131 MOUNTAINVIEW RD |
| City | EWING |
| State | NJ |
| Zip Code | 08560-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356587158 | Sathyamma David | Registered Nurse | 14 Pennington-washington Crossing Rd., Titusville, NJ 08560 | 2008-12-29 |
| 1952348914 | Carla Maria Canuso | Psychiatry & Neurology | Janssen Pharmaceuticals, Titusville, NJ 08560 | 2006-05-31 |
| 1255399176 | Nobel A Bellosillo | Internal Medicine | 1125 Trenton-harbourton Road, Titusville, NJ 08560 | 2006-05-02 |
| 1942201389 | Peter George Dorson | Pharmacist | 1125 Trenton-harbourton Rd, Titusville, NJ 08560-0200 | 2005-08-09 |
| 1134369523 | Carla Mcmanimon | Speech-Language Pathologist | 4 Mckonkey Way, Titusville, NJ 08560-1119 | 2009-02-25 |
| 1710356803 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35 Windybush Way, Ewing, NJ 08560-1206 | 2015-09-18 |
| 1588071591 | John J. Liccardo | Psychiatry & Neurology | 1 Forrest Blend Drive, Titusville, NJ 08560-1316 | 2014-07-22 |
| 1033490529 | Union Association of The Children's Home of Burlington County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 230 Jacobs Creek Rd, Titusville, NJ 08560-1403 | 2011-08-29 |
| 1144674912 | Hopewell Township Fire District No. 1 | Ambulance | 201 Washington Crossing Pe Rd, Titusville, NJ 08560-1410 | 2016-04-19 |
| 1295910362 | Township of Hopewell | Clinic/Center | 201 Washington Crossing Pennington Road, Titusville, NJ 08560-1410 | 2008-01-08 |
| Find all providers in zip 08560 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232175 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 65 Brophy Ct, Ewing, NJ 08638-1224 | 2020-07-16 |
| 1255800520 | Dungarvin New Jersey, LLC - Whitehead II, Apt 209 | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Ext Apt 209, Ewing, NJ 08638-2432 | 2018-11-16 |
| 1982173258 | Dungarvin New Jersey, LLC - Whitehead II, Apt 217 | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Ext Apt 217, Ewing, NJ 08638-2432 | 2018-11-16 |
| 1568931939 | Dungarvin New Jersey, LLC - Whitehead II, Apt 109 | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Ext Apt 109, Ewing, NJ 08638-2434 | 2018-11-15 |
| 1114493244 | Dungarvin New Jersey, LLC - Whitehead II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Extension, Apt 209 & 217, Ewing, NJ 08638 | 2018-10-16 |
| 1073099669 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 56 Brophy Dr, Ewing, NJ 08638-1241 | 2018-07-17 |
| 1972089753 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1144 River Rd, Ewing, NJ 08628-2106 | 2018-07-16 |
| 1649769365 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 76 Federal City Rd, Ewing, NJ 08638-1323 | 2018-05-08 |
| 1619408044 | Princeton Child Development Institute | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 55 Perry Dr, Ewing, NJ 08628-1710 | 2017-03-27 |
| 1710356803 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35 Windybush Way, Ewing, NJ 08560-1206 | 2015-09-18 |
| Find all providers in EWING | ||||
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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.