NATIONAL MENTOR HEALTHCARE LLC (NPI# 1801107941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801107941 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE LLC |
| Other Organization Name | INDIANA MENTOR |
| Practice Address |
8925 N Meridian St Ste. 250 Indianapolis IN 46260-2386 |
| Practice Telephone | 3175812380 |
| Practice Fax Number | 3175812387 |
| Mailing Telephone | 3175812380 |
| Mailing Fax Number | 3175812387 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |
| Authorized Official Name | AMANDA HECKELSBERG RICHEY (NEW SERVICES PROGRAM SUPERVISOR) |
| Authorized Official Telephone | 3175812380 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| Other Name | Type Code |
|---|---|
| Indiana MENTOR | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055980 | National Mentor Healthcare LLC | Intermediate Care Facility, Mentally Retarded | 1275 N Rainbow Loop, Lecanto, FL 34461-8893 | 2018-12-28 |
| 1689098030 | National Mentor Healthcare LLC | Community Based Residential Treatment Facility, Mental Illness | 12502 N 85th Ln, Peoria, AZ 85381-5160 | 2014-02-05 |
| 1598005423 | National Mentor Healthcare LLC | Custodial Care Facility | 6032 W 7th Ave, Gary, IN 46406-1314 | 2013-03-01 |
| 1932485174 | National Mentor Healthcare LLC | Community/Behavioral Health | 400 Fisher Rd, Brevard, NC 28712-3895 | 2011-11-02 |
| 1588940720 | National Mentor Healthcare LLC | Community/Behavioral Health | 601 Greenville Hwy, Brevard, NC 28712-9414 | 2011-11-02 |
| 1578872289 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 820 E Tipton St, Seymour, IN 47274-3524 | 2010-09-29 |
| 1528375896 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10129 Penrith Dr, Indianapolis, IN 46229-1397 | 2010-09-08 |
| 1437466703 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 116 S Carroll Ave, Michigan City, IN 46360-5341 | 2010-09-08 |
| 1982910675 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9740 E 21st St, Indianapolis, IN 46229-1708 | 2010-08-19 |
| 1457667164 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4005 Texas Pike, Spencer, IN 47460-7158 | 2010-08-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | National Mentor Healthcare LLC | The Mentor Network, 313 Congress St 5th Fl, Boston, Massachusetts 02210 |
| Street Address |
8925 N MERIDIAN ST STE. 250 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168158 | Nurses and More, Inc. | Home Health | 8925 N Meridian St, Suite 110, Indianapolis, IN 46260-2384 | 2005-07-15 |
| 1467706788 | National Mentor Healthcare, LLC | Custodial Care Facility | 8925 N Meridian St, Suite 200, Indianapolis, IN 46260-2386 | 2012-11-08 |
| 1730464579 | Erica S Reichert | Counselor | 8925 N Meridian St, Suite 250, Indianapolis, IN 46260-2386 | 2011-10-12 |
| 1598045403 | Sarah F Wickman | Social Worker | 8925 N Meridian St, 250, Indianapolis, IN 46260-2386 | 2011-08-23 |
| 1093027179 | Mentor Healthcare LLC | Community/Behavioral Health | 8925 N Meridian St, Suite 250, Indianapolis, IN 46260-2386 | 2010-07-06 |
| 1588985493 | Indiana Mentor | Case Management | 8925 N Meridian St, Suite 250, Indianapolis, IN 46260-2386 | 2010-06-15 |
| 1124349048 | Indiana Mentor | Foster Care Agency | 8925 N Meridian St, Suite 250, Indianapolis, IN 46260-2386 | 2010-06-15 |
| 1871730028 | Patricia Sue Anderson | Nurse Practitioner | 8925 N Meridian St, Suite100, Indianapolis, IN 46260-2386 | 2009-01-09 |
| 1518112366 | Melissa Dawn Louthain | Nurse Practitioner | 8925 N Meridian St, Suite 150, Indianapolis, IN 46260-2386 | 2008-11-20 |
| 1932300696 | Dana M Matthews | Nurse Practitioner | 8925 N Meridian St, Suite 150, Indianapolis, IN 46260-2386 | 2007-05-30 |
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|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
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| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184906778 | Indiana Mentor | Foster Care Agency | 8925 N. Meridian Street, #250, Indianapolis, IN 46260 | 2011-09-09 |
| 1811200272 | Indiana Mentor | Foster Care Agency | 8925 N Meridian St Ste 250, Indianapolis, IN 46260-5372 | 2010-07-14 |
| 1659507010 | Second Baptist Church | Foster Care Agency | 3705 Kessler Blvd North Dr, Indianapolis, IN 46222-5800 | 2009-05-29 |
| 1124349048 | Indiana Mentor | Foster Care Agency | 8925 N Meridian St, Suite 250, Indianapolis, IN 46260-2386 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689849283 | Villages of Indiana, Inc | Foster Care Agency | 612 E Boulevard, Kokomo, IN 46902-2271 | 2008-04-24 |
| 1215210075 | Family Ark, Inc. | Foster Care Agency | 215 Rainbow Way, Jeffersonville, IN 47130-5374 | 2011-09-27 |
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.