MENTOR ABI, LLC (NPI# 1841414232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841414232 |
Entity Type | Organization |
Organization Name | MENTOR ABI, LLC |
Other Organization Name | TIMBER RIDGE RANCH NEURORESTORATIVE CENTER |
Practice Address |
15000 Highway 298 Benton AR 72019-9282 |
Mailing Address |
280 Merrimack St Ste 600 Lawrence MA 01843-1779 |
Practice Telephone | 5017588799 |
Practice Fax Number | 5017538204 |
Mailing Telephone | 9786552100 |
Enumeration Date | 2007-04-13 |
Last Update Date | 2019-02-22 |
Authorized Official Name | MRS. CINDY BEATY (DIRECTOR OF REIMBURSEMENT) |
Authorized Official Telephone | 5017588799 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283XC2000X |
Rehabilitation Hospital Specialization: Children |
10042 | AR | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 126843126 | 05 | |
AR | 181317526 | 05 |
Other Name | Type Code |
---|---|
Timber Ridge Ranch NeuroRestorative Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639733058 | Mentor Abi, LLC | Psychologist | 4910 Corporate Centre Dr Ste 120, Lawrence, KS 66047-1002 | 2019-05-01 |
1679082234 | Mentor Abi, LLC | Rehabilitation Hospital | 115 Evans Ct, Mount Laurel, NJ 08054-4202 | 2017-09-27 |
1396254959 | Mentor Abi, LLC | Rehabilitation Hospital | 1203 Crofton Ct, Mount Laurel, NJ 08054-4221 | 2017-09-27 |
1386153922 | Mentor Abi, LLC | Rehabilitation Hospital | 8008 Route 130 Ste 400, Delran, NJ 08075-1869 | 2017-09-27 |
1386170504 | Mentor Abi, LLC | Rehabilitation Hospital | 2021 Cavalier Way, Sioux City, IA 51109-1176 | 2017-05-08 |
1619410701 | Mentor Abi, LLC | Rehabilitation Hospital | 1126 Florence Ave, Sioux City, IA 51109-1017 | 2016-11-22 |
1609224203 | Mentor Abi, LLC | Rehabilitation Hospital | 6006 Beverly Rd Sw, Cedar Rapids, IA 52404-7114 | 2016-05-25 |
1801274824 | Mentor Abi, LLC | Rehabilitation Hospital | 2803 262nd St, De Witt, IA 52742-9429 | 2015-05-11 |
1588042733 | Mentor Abi, LLC | Rehabilitation Hospital | 4102 Nw 2nd Ct, Ankeny, IA 50023-6803 | 2015-05-08 |
1215330444 | Mentor Abi, LLC | Rehabilitation Hospital | 3201 Davis Rd, Indianapolis, IN 46239-9305 | 2014-10-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MENTOR ABI, LLC | 313 Congress St, Boston, MA 02210-1218 |
Iowa Business Entities | MENTOR ABI, LLC | 313 Congress Street 5th Floor, Boston, MA 02210 |
Oklahoma Business Registrations | MENTOR ABI, LLC | 313 Congress St 5th Fl, C/o The Mentor Network, Boston, MA 02210 |
Indiana Business Entities | MENTOR ABI, LLC | 313 Congress St, 5th Fl, Boston, MA 02210 |
Street Address |
15000 HIGHWAY 298 |
City | BENTON |
State | AR |
Zip Code | 72019-9282 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245342591 | Mentor Abi, LLC | Rehabilitation Hospital | 15000 Highway 298, Benton, AR 72019-9282 | 2006-08-31 |
1043341142 | Lalita H. Perkins | Psychiatry & Neurology | 15000 Highway 298, Benton, AR 72015-9282 | 2007-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841898293 | Arkansas Heart Hospital LLC | General Acute Care Hospital | 1901 Encore Way, Bryant, AR 72019 | 2020-10-16 |
1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
1710525720 | Melanie Mabry | Nurse Practitioner | 11510 State Highway 298, Benton, AR 72019 | 2019-12-20 |
1578086864 | Ronald Winkler | Occupational Therapy Assistant | 2907 Hurricane Lake Rd, Bryant, AR 72019 | 2017-07-19 |
1801243357 | Richard Andrew Dwiggins | Social Worker | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-05-14 |
1184008377 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2080 I-30 North, Benton, AR 72019 | 2015-07-17 |
1689910051 | Rachel Cloud | Physical Therapist | 2010 Activeway, Benton, AR 72019 | 2012-12-12 |
1538444583 | Stacy Ann Harris | Specialist | 403 Demuth Lane, Benton, AR 72019 | 2011-10-20 |
1144528423 | Robert Mark Robinson | Licensed Practical Nurse | 5 Hickory Ridge Drive, Benton, AR 72019 | 2011-03-10 |
Find all providers in zip 72019 |
Taxonomy Code | 283XC2000X |
Grouping | Hospitals |
Classification | Rehabilitation Hospital |
Specialization | Children |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245342591 | Mentor Abi, LLC | Rehabilitation Hospital | 15000 Highway 298, Benton, AR 72019-9282 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023376589 | Dequeen Medical Center | Rehabilitation Hospital | 1306 W Collin Dr., Dequeen, AR 71832 | 2012-05-02 |
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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.