MENTOR ABI (NPI# 1922322502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922322502 |
| Entity Type | Organization |
| Organization Name | MENTOR ABI |
| Other Organization Name | NEURORESTORATIVE PENNSYLVANIA |
| Practice Address |
6816 W Lake Rd Fairview PA 16415-1645 |
| Mailing Address |
280 Merrimack St Ste 600 Lawrence MA 01843-1779 |
| Practice Telephone | 8136261444 |
| Practice Fax Number | 8136210770 |
| Mailing Telephone | 9786552213 |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | MS. DAVE MACKENZIE (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8144741977 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| NeuroRestorative Pennsylvania | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265908388 | Mentor Abi | Rehabilitation Hospital | 115a Leeds Point Rd, Galloway, NJ 08205-4211 | 2018-10-16 |
| 1033426739 | Mentor Abi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 986 Sebago Rd, Sebago, ME 04029-3814 | 2010-09-02 |
| 1740596568 | Mentor Abi | Community Based Residential Treatment Facility, Mental Illness | 2000 Crawford Pl Ste 700, Mount Laurel, NJ 08054-3950 | 2010-08-31 |
| 1023338639 | Mentor Abi | Rehabilitation Hospital | 446 Sycamore Road, Pleasanton, CA 94588 | 2010-06-04 |
| 1366762296 | Mentor Abi | Rehabilitation Hospital | 6512 E Ludlow Dr, Scottsdale, AZ 85254-3311 | 2010-06-02 |
| 1558686576 | Mentor Abi | Community Based Residential Treatment Facility, Mental Illness | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2010-04-01 |
| 1386879096 | Mentor Abi | Community Based Residential Treatment Facility, Mental Illness | 6 King Rd, Chichester, NH 03258-6533 | 2009-05-26 |
| 1669592234 | Mentor Abi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1510 Seneca Dr, Blacksburg, VA 24060-2464 | 2007-03-29 |
| 1639476617 | Mentor Abi | Day Training, Developmentally Disabled Services | 4219 S County Trl, Charlestown, RI 02813-3628 | 2011-02-28 |
| 1649574252 | Mentor Abi | Community Based Residential Treatment Facility, Mental Illness | 5310 Buena Park Rd, Waterford, WI 53185-2907 | 2010-12-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Mentor ABI LLC | 313 Congress St, Boston, Massachusetts 02210 |
| 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 |
6816 W LAKE RD |
| City | FAIRVIEW |
| State | PA |
| Zip Code | 16415-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356438352 | Anchor Inne, Inc. | Assisted Living Facility | 6816 W Lake Rd, Fairview, PA 16415-1645 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013451947 | Stefanie Hallowell | Counselor | 2445 West 34th Street, Fairview, PA 16415 | 2016-12-12 |
| 1952621203 | Katherine Walenciak Ulrich | Speech-Language Pathologist | 6019 Pebble Creek Dr, Fairview, PA 16415 | 2010-06-09 |
| 1366560815 | Medical Associates of Erie | Family Medicine | 7686 West Ridge Rd, Fairview, PA 16415 | 2007-03-26 |
| 1306979943 | Susan E Maland | Prosthetist | 7371 Fairweather Drive, Fairview, PA 16415 | 2007-03-13 |
| 1821172610 | Lawrence John Amenta | Dentist | 7435 West Ridge Rd, Box 496, Fariview, PA 16415 | 2006-10-25 |
| 1356360762 | Richard Sy Sposito | Family Medicine | 7686 West Ridge Rd., Fairview, PA 16415 | 2006-07-18 |
| 1477518124 | Richard Anthony Ortoski | Family Medicine | 7686 West Ridge Road, Fairview, PA 16415 | 2006-04-18 |
| 1184099012 | Mary Kathryn Washok | Occupational Therapy Assistant | 900 Manchester Road, Fairview, PA 16415 | 2015-12-03 |
| 1578938403 | Laurie Jackson Hudson | Physical Therapist | 900 Manchester Road, Fairview, PA 16415 | 2015-12-03 |
| 1689748766 | Michael William Brown | Dentist | 7435 West Ridge Rd, Fairview, PA 16415-0496 | 2006-11-20 |
| Find all providers in zip 16415 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376669101 | Beckys Rest Home 11 | Assisted Living Facility | 316 Lower Brush Creek Road, Fairview, NC 28730-0316 | 2007-03-22 |
| 1356438352 | Anchor Inne, Inc. | Assisted Living Facility | 6816 W Lake Rd, Fairview, PA 16415-1645 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104883 | The Arbors At St. Barnabas IIi | Assisted Living Facility | 6005 Valencia Rd, Gibsonia, PA 15044-4827 | 2020-11-06 |
| 1710588611 | Beaver Meadows | Assisted Living Facility | 5130 Tuscarawas Rd, Beaver, PA 15009-9507 | 2020-11-06 |
| 1215549464 | Blair Personal Care Homes, Inc. | Assisted Living Facility | 1031 Mercer Rd, Beaver Falls, PA 15010-6824 | 2020-08-19 |
| 1164079166 | Snh Penn Tenant LLC | Assisted Living Facility | 950 Morgan Hwy, South Abington Township, PA 18411-8723 | 2019-08-23 |
| 1740840370 | Al One Pa Investments, LLC | Assisted Living Facility | 200 Sunrise Blvd, Exton, PA 19341-2337 | 2019-06-17 |
| 1164088456 | Allied Services Personal Care Center | Assisted Living Facility | 260 S Meade St, Wilkes Barre, PA 18702-6221 | 2019-05-13 |
| 1396215158 | Atl Community Living LLC | Assisted Living Facility | 5231 Locust St, Philadelphia, PA 19139-4020 | 2018-12-04 |
| 1346718988 | Pleasant Ridge Mature Living | Assisted Living Facility | 981 Pleasant Hill Rd, Leechburg, PA 15656-8390 | 2018-11-12 |
| 1558855627 | Firely Adult Homes Inc. | Assisted Living Facility | 207 Beechwood Rd, Norristown, PA 19401-1301 | 2018-06-21 |
| 1710474838 | Sabrina Lynn Scott Sr. | Assisted Living Facility | 114 Smithfield St, Pittsburgh, PA 15222-2248 | 2018-04-13 |
| Find all providers with the same taxonomy | ||||
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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.