NATIONAL MENTOR HEALTHCARE LLC (NPI# 1932485174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932485174 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE LLC |
| Other Organization Name | NORTH CAROLINA MENTOR |
| Practice Address |
400 Fisher Rd Brevard NC 28712-3895 |
| Mailing Address |
3125 Poplarwood Ct Suite 300 Raleigh NC 27604-1084 |
| Practice Telephone | 8282580031 |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |
| Authorized Official Name | SCOTT MARTIN (STATE DIRECTOR) |
| Authorized Official Telephone | 9197908580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| 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 |
| 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 |
| 1396051009 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5754 Twin River Ln, Indianapolis, IN 46239-5802 | 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 |
400 FISHER RD |
| City | BREVARD |
| State | NC |
| Zip Code | 28712-3895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356715791 | Meridian Behavioral Health Services, Inc. | Community/Behavioral Health | 400 Fisher Rd, Brevard, NC 28712 | 2015-11-23 |
| 1700293909 | Family Preservation Services of North Carolina, Inc. - Brevard Middle | Community/Behavioral Health | 400 Fisher Rd, Brevard, NC 28712-3895 | 2014-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205351152 | Kelley Strom | Occupational Therapist | 835 Wolf Pen Cove Road, Brevard, NC 28712 | 2017-08-11 |
| 1568909232 | Christina Faye Jachens | Counselor | 39 East Jordan Street, Brevard, NC 28712 | 2017-01-19 |
| 1922446947 | Allcare Clinical Associates, Pa | Anesthesiology | 89c Hospital Drive, Brevard, NC 28712 | 2013-06-12 |
| 1265742852 | Loftis Home Medical LLC | Durable Medical Equipment & Medical Supplies | 181 Rosman Hwy, Brevard, NC 28712 | 2010-10-15 |
| 1407164395 | United Rehab Inc. | Clinic/Center | 300 Morris Road, Brevard, NC 28712 | 2010-09-14 |
| 1083931851 | Polly Mitchiner-senecal | Pharmacist | 382 Asheville Highway, Brevard, NC 28712 | 2010-05-03 |
| 1891029682 | Douglas Carl Harris | Pharmacist | 382 Asheville Hwy., Brevard, NC 28712 | 2009-09-25 |
| 1386828770 | Academy of The Sierras | Residential Treatment Facility, Physical Disabilities | 1 Lambs Creek Rd, Brevard, NC 28712 | 2007-12-21 |
| 1215117619 | Kimberly Lynn Marchisin | Orthotic Fitter | 10 E Jordan St West, Brevard, NC 28712 | 2007-11-14 |
| 1841482700 | Transylvania County Dss | Public Health or Welfare | 106 E Morgan Street, Brevard, NC 28712 | 2007-08-15 |
| Find all providers in zip 28712 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235621673 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 1076 Ecusta Rd, Brevard, NC 28712-7581 | 2018-06-01 |
| 1194229203 | Mindful Purpose Counseling Pllc | Community/Behavioral Health | 196 Whitmire St, Brevard, NC 28712-4498 | 2018-03-22 |
| 1275907610 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 399 Greenville Hwy, Brevard, NC 28712-4792 | 2015-11-23 |
| 1588940720 | National Mentor Healthcare LLC | Community/Behavioral Health | 601 Greenville Hwy, Brevard, NC 28712-9414 | 2011-11-02 |
| 1518246420 | Families Together, Inc | Community/Behavioral Health | 1910a Asheville Hwy, Brevard, NC 28712-7763 | 2011-08-09 |
| 1760701874 | Families Together, Inc. | Community/Behavioral Health | 601 Greenville Highway, Brevard, NC 28712-9414 | 2010-05-28 |
| 1164751988 | Families Together, Inc. | Community/Behavioral Health | 400 Fisher Road, Brevard, NC 28712-3895 | 2009-12-08 |
| 1760619738 | Southeastern United Care,llc | Community/Behavioral Health | 703 N Broad St, Brevard, NC 28712-3101 | 2009-06-17 |
| 1154509438 | Families Together Inc | Community/Behavioral Health | 107 S. Johnson Street, Brevard, NC 28712-3000 | 2008-02-08 |
| 1700084498 | Appalachian Counseling | Community/Behavioral Health | 107 S Johnson St, Brevard, NC 28712-3707 | 2007-07-05 |
| Find all providers in BREVARD | ||||
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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.