NATIONAL MENTOR HEALTHCARE LLC (NPI# 1891012928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891012928 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE LLC |
| Other Organization Name | NORTH CAROLINA MENTOR |
| Practice Address |
7 Oak Branch Dr Ste C Greensboro NC 27407-2392 |
| Mailing Address |
3125 Poplarwood Ct Suite 300 Raleigh NC 27604-1084 |
| Practice Telephone | 3368561140 |
| Practice Fax Number | 3368561128 |
| Mailing Telephone | 9197908580 |
| Mailing Fax Number | 9193410231 |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |
| Authorized Official Name | CHARLES DAVIS (STATE DIRECTOR) |
| Authorized Official Telephone | 9197908580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Carolina 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 |
7 OAK BRANCH DR STE C |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407-2392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578600730 | Joanna Chambers Finer | Social Worker | 7 Oak Branch Dr Ste C, Greensboro, NC 27407-2392 | 2007-01-30 |
| 1851942999 | Joshua Charles Smith | Social Worker | 7 Oak Branch Dr Ste C, Greensboro, NC 27407-2392 | 2019-09-20 |
| 1225547631 | Mathilda Rose Kendrick | Social Worker | 7 Oak Branch Dr Ste C, Greensboro, NC 27407-2392 | 2017-09-28 |
| 1295244986 | Quanya Nicholle Eaton | Social Worker | 7 Oak Branch Dr Ste C, Greensboro, NC 27407-2392 | 2017-09-25 |
| 1740720663 | Marlon Bentley Price Jr. | Counselor | 7 Oak Branch Dr Ste C, Greensboro, NC 27407-2392 | 2017-02-24 |
| 1982149860 | Keyaira Mcneill | Community/Behavioral Health | 7 Oak Branch Dr Ste C, Greensboro, NC 27407-2392 | 2016-12-30 |
| 1942750286 | Jerrica Royal | Counselor | 7 Oak Branch Dr Ste C, Greensboro, NC 27407-2392 | 2016-10-11 |
| 1558714667 | Aquicha Duff | Social Worker | 7 Oak Branch Dr Ste C, Greensboro, NC 27407-2392 | 2016-07-13 |
| 1215305669 | Pinnacle Family Services of North Carolina LLC | Social Worker | 7 Oak Branch Dr Ste C, Greensboro, NC 27407-2392 | 2015-09-02 |
| 1376979336 | Taleisha Q Bowen | Counselor | 7 Oak Branch Dr Ste C, Greensboro, NC 27407 | 2013-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620604 | Associates In Intelligent Psychiatry Pllc | Psychiatry & Neurology | 806 Green Valley Rd Ste 200, Greensboro, NC 27408-7076 | 2019-03-29 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1639412695 | Alexander Arya Eksir | Psychiatry & Neurology | 3859 Battleground Ave Ste 202, Greensboro, NC 27410-9580 | 2013-03-28 |
| 1871817114 | Victor H Morcos | Psychiatry & Neurology | 57 Lands End Dr, Greensboro, NC 27408-3841 | 2010-03-16 |
| 1497943286 | Shamsher Singh Ahluwalia | Psychiatry & Neurology | 2211 W Meadowview Rd Ste 108, Greensboro, NC 27407-3408 | 2007-10-05 |
| 1386849313 | Uncg Psychology Clinic | Psychiatry & Neurology | 200 E. Northwood St., Suite 320, Greensboro, NC 27401 | 2007-06-19 |
| 1366654329 | Kenneth Jay Headen | Psychiatry & Neurology | 806 Summit Ave, Greensboro, NC 27405-7861 | 2007-05-04 |
| 1720110976 | Xaver Franz Hertle | Psychiatry & Neurology | 202 Rockford Road, Greensboro, NC 27408-5116 | 2007-03-12 |
| 1659435576 | Stephen Brian Sanders | Psychiatry & Neurology | 3 Centerview Dr, Suite 150, Greensboro, NC 27407 | 2006-12-22 |
| 1598850844 | Sbn Incorporated | Psychiatry & Neurology | 2401 S Side Blvd, Greensboro, NC 27406-3311 | 2006-10-03 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
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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.