NJ MENTOR (NPI# 1659993442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659993442 |
| Entity Type | Organization |
| Organization Name | NJ MENTOR |
| Practice Address |
80 Cottontail Ln Ste 330 Somerset NJ 08873-1100 |
| Practice Telephone | 7326279890 |
| Mailing Telephone | 8572056325 |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | SUSAN MCCARTHY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8572056325 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831607225 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 Bancroft Ln, Willingboro, NJ 08046-3902 | 2018-01-19 |
| 1639687023 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Northampton Dr, Willingboro, NJ 08046-1324 | 2018-01-19 |
| 1942718333 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Hidden Hollow Ln, Sicklerville, NJ 08081-3910 | 2018-01-19 |
| 1386152825 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 988 Sids Ct, Brick, NJ 08724-7173 | 2018-01-18 |
| 1750899290 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 529 S Atlantic Ave, Aberdeen, NJ 07747-2246 | 2018-01-18 |
| 1326208729 | Nj Mentor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2008-06-10 |
| 1053570135 | Nj Mentor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2008-06-04 |
| Street Address |
80 COTTONTAIL LN STE 330 |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770093536 | National Mentor Healtcare LLC | Community Based Residential Treatment Facility, Mental Illness | 80 Cottontail Ln Ste 330, Somerset, NJ 08873-1100 | 2017-10-06 |
| 1548725401 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 80 Cottontail Ln Ste 330, Somerset, NJ 08873-1100 | 2019-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
| 1710461157 | Rachnaben Tripathi | Clinic/Center | New Life Adult Daycare, 727 Franklin Blvd., Suite 6, Somerset, NJ 08873 | 2018-09-21 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
| 1548779333 | Alternatives, Inc. | Community/Behavioral Health | 10 Vince Rd, Somerset, NJ 08873 | 2017-09-25 |
| 1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
| 1245766252 | Salma Khan | Dentist | 1543 Nj 27, Somerset, NJ 08873 | 2017-05-11 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in zip 08873 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204766 | Alpha Umaru Bah | Home Health | 14 Meadow Hills Dr, Somerset, NJ 08873-5332 | 2020-08-05 |
| 1699392605 | Shrijicare LLC | Home Health | 3 Viking Ave, Somerset, NJ 08873-3034 | 2020-06-25 |
| 1255977989 | Nima Care Supported Living LLP. | Home Health | 781 Hamilton St, Somerset, NJ 08873-3160 | 2019-11-18 |
| 1972165611 | Evas Home Care Nj LLC | Home Health | 9 9th St, Somerset, NJ 08873-1562 | 2019-07-02 |
| 1932767498 | I&s Care, Inc. | Home Health | 5 Staudt Ct, Somerset, NJ 08873-7336 | 2019-05-30 |
| 1952863557 | Audrey A Fakondo | Home Health | 863 Hamilton St, Somerset, NJ 08873-3106 | 2019-04-02 |
| 1669822730 | Comfort Senior Care LLC | Home Health | 1820 Amwell Rd, Somerset, NJ 08873-2790 | 2016-06-20 |
| 1659744357 | Empathy Care LLC | Home Health | 1323 Highway 27, Suite E, Somerset, NJ 08873-2906 | 2015-11-04 |
| 1750723284 | Serenity Home Health of Somerset | Home Health | 132 Prewitt Place Dr, Somerset, KY 42503-5470 | 2013-07-25 |
| 1134486723 | Grace Home Health Services, Inc | Home Health | 646 Hamilton St, Somerset, NJ 08873-2632 | 2012-04-19 |
| Find all providers in SOMERSET | ||||
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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.