NATIONAL MENTOR HEALTHCARE, LLC


Address: 672 Jackson Valley Rd, Oxford, NJ 07863-3314
Phone: 7326279890

NATIONAL MENTOR HEALTHCARE, LLC (NPI# 1770963936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770963936
Entity Type Organization
Organization Name NATIONAL MENTOR HEALTHCARE, LLC
Other Organization Name NEW JERSEY MENTOR
Practice Address 672 Jackson Valley Rd
Oxford
NJ 07863-3314
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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
New Jersey MENTOR Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 672 JACKSON VALLEY RD
City OXFORD
State NJ
Zip Code 07863-3314

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578177101 Kylie Desjadon Physical Therapist 2550 Pa-100, Suite 120, Macungie, PA 07863 2020-09-01
1972021103 The Arc, Warren County Chapter Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 34 Bush St, Oxford, NJ 07863-3002 2017-09-08
1629597190 The Arc, Warren County Chapter Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 34 Bush St, Oxford, NJ 07863-3002 2017-09-15
1407226483 Oxford Twp Board of Education Local Education Agency (LEA) 17 Kent St, Oxford, NJ 07863-3046 2015-10-02
1962920942 The Arc, Warren County Chapter Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 356 Jonestown Rd, Oxford, NJ 07863-3137 2017-08-30
1821133992 Leslie Meyer-grimes Family Medicine 259 Brass Castle Rd, Oxford, NJ 07863-3143 2007-02-20
1619289857 Mary Kovacs Physical Therapist 350 Oxford Rd, Oxford, NJ 07863-3224 2010-07-03
1821085630 County of Warren Skilled Nursing Facility 350 Oxford Road, Oxford, NJ 07863-3224 2005-10-06
1033627245 Integrated Wound Care New Jersey General Practice 350 Oxford Rd, Oxford, NJ 07863-3224 2018-01-22
1144604836 Wh Holdings 1 LLC Skilled Nursing Facility 350 Oxford Rd, Oxford, NJ 07863-3224 2015-07-13
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972021103 The Arc, Warren County Chapter Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 34 Bush St, Oxford, NJ 07863-3002 2017-09-08
1962920942 The Arc, Warren County Chapter Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 356 Jonestown Rd, Oxford, NJ 07863-3137 2017-08-30
1245576644 View Point Health Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10 Edge Dr, Oxford, GA 30054-4347 2012-12-13
1457554594 Granville County Group Homes, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5509 Dorsey Rd, Oxford, NC 27565-8309 2007-06-07
1629597190 The Arc, Warren County Chapter Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 34 Bush St, Oxford, NJ 07863-3002 2017-09-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649871559 Heart To Heart Health Care Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 414 Mamie Ct, Brick, NJ 08723-6438 2020-11-06
1316548167 The Arc of Cape May County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 111 E Woodland Ave, Cape May Court House, NJ 08210-3815 2020-11-06
1730789447 Community Options, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 209 Loganberry Ln, Freehold, NJ 07728-4045 2020-10-30
1881294858 Youth Consultation Service Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 107 Echohill Ln, Willingboro, NJ 08046-2205 2020-10-29
1093314759 Fordham-lewis Consulting, L.L.C. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 94 Ramapo Valley Rd, Mahwah, NJ 07430-1161 2020-10-22
1487252177 Heart To Heart Health Care Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1476 W Terrace Cir Apt 2, Teaneck, NJ 07666-5230 2020-10-14
1215535422 Community Options, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 231 Griggstown Rd, Belle Mead, NJ 08502-5204 2020-10-12
1003413311 Excelsior Services Group LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 415 Main Ave, Wood Ridge, NJ 07075-2055 2020-10-08
1659988178 Community Options, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 19 Heather Ln, Belle Mead, NJ 08502-5125 2020-09-29
1598372021 Community Options, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 838 Long Road, Gillete, NJ 07933-0854 2020-09-29
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Competitor

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City OXFORD
Zip Code 07863

Improve Information

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Dataset Information

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.

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