NATIONAL MENTOR HEALTHCARE, LLC (NPI# 1689828600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689828600 |
Entity Type | Organization |
Organization Name | NATIONAL MENTOR HEALTHCARE, LLC |
Other Organization Name | NC MENTOR |
Practice Address |
1122 Us Highway 220 Alt S Biscoe NC 27209-9564 |
Mailing Address |
3125 Poplarwood Ct Suite 300 Raleigh NC 27604-1084 |
Practice Telephone | 9105761188 |
Practice Fax Number | 9105761182 |
Mailing Telephone | 9197908580 |
Mailing Fax Number | 9198663255 |
Enumeration Date | 2008-11-05 |
Last Update Date | 2008-11-05 |
Authorized Official Name | MR. CHARLES DAVIS (STATE DIRECTOR) |
Authorized Official Telephone | 9197908580 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
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 |
1122 US HIGHWAY 220 ALT S |
City | BISCOE |
State | NC |
Zip Code | 27209-9564 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144316324 | Fhpg, LLC | Nurse Practitioner | 1122 Us Highway 220 Alt S, Biscoe, NC 27209-9564 | 2006-10-05 |
1972126720 | Cara Saunders Haywood | Nurse Practitioner | 1122 Us Highway 220 Alt S, Biscoe, NC 27209-9564 | 2020-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487934006 | Montgomery County Free Clinic | Public Health or Welfare | 104 Professional Drive, Biscoe, NC 27209 | 2011-08-26 |
1780824029 | Karen Chavis Clark | Pharmacist | 2295 Nc Highway 24 27 E, Biscoe, NC 27209 | 2009-02-26 |
1548452055 | Neal and Joyce Parson | Custodial Care Facility | 602 Aileen Ave, Biscoe, NC 27209 | 2007-08-17 |
1588861025 | Melissa Dawn Simmons | Physical Therapy Assistant | 407 Lambert Rd, Biscoe, NC 27209 | 2007-06-28 |
1679626832 | Lane and Associates Ix | Dentist | 131 Montgomery Crossing, Biscoe, NC 27209 | 2007-01-19 |
1396725743 | Firsthealth Dental Care Center | Clinic/Center | 195 Camelot Court, Biscoe, NC 27209 | 2006-01-20 |
1013995612 | Pushp Kumar Claudius | Internal Medicine | 401 Lambert Rd., Biscoe, NC 27209 | 2006-01-04 |
1114276151 | Stephanie Ann Zyra | Pharmacist | 529 East Main Street, Biscoe, NC 27209 | 2012-09-06 |
1093035933 | Biscoe Pharmacy, Inc. | Pharmacy | 2295 Nc Highway 24/27 East, Biscoe, NC 27209-0249 | 2010-06-02 |
1194924977 | Breon Allen | Psychologist | 230 Wright Rd., Biscoe, NC 27209-0736 | 2007-07-12 |
Find all providers in zip 27209 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093153330 | Monarch | Community/Behavioral Health | 215 Page St, Biscoe, NC 27209-9825 | 2013-06-10 |
1225361058 | National Mentor Healthcare, LLC | Community/Behavioral Health | 204 Lambert Rd, Biscoe, NC 27209-9005 | 2009-09-11 |
1518126838 | Therapeutic Alternatives, Inc. | Community/Behavioral Health | 204a Lambert Rd, Biscoe, NC 27209-9005 | 2008-06-02 |
1316181951 | Therapeutic Alternatives, Inc. | Community/Behavioral Health | 204a Lambert Rd, Biscoe, NC 27209-9005 | 2009-04-27 |
1225272867 | Therapeutic Alternatives, Inc. | Community/Behavioral Health | 204a Lambert Rd, Biscoe, NC 27209-9005 | 2009-04-27 |
1497914303 | Therapeutic Alternatives Inc | Community/Behavioral Health | 204a Lambert Rd, Biscoe, NC 27209-9005 | 2008-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
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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.