NATIONAL MENTOR HEALTCARE LLC (NPI# 1932546959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932546959 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTCARE LLC |
| Other Organization Name | INDIANA MENTOR ADULT FOSTER CARE |
| Practice Address |
6323 Tennessee Ave Hammond IN 46323-1934 |
| Mailing Address |
8925 N Meridian St Suite 200 Indianapolis IN 46260-2386 |
| Practice Telephone | 3175812380 |
| Mailing Telephone | 3175812380 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |
| Authorized Official Name | DAN MOHNKE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3175812380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200943350Z | 05 |
| Other Name | Type Code |
|---|---|
| Indiana MENTOR Adult Foster Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770093536 | National Mentor Healtcare LLC | Community Based Residential Treatment Facility, Mental Illness | 80 Cottontail Ln Ste 330, Somerset, NJ 08873-1100 | 2017-10-06 |
| Street Address |
6323 TENNESSEE AVE |
| City | HAMMOND |
| State | IN |
| Zip Code | 46323-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477052645 | Orthospine Monitoring LLC | Psychiatry & Neurology | 2901 Carlson Drive, Suite 375, Hammond, IN 46323 | 2018-02-02 |
| 1790863256 | Pacific Healthcare, Inc. | Clinic/Center | 6829-1/2 S. Grand Avenue, Hammond, IN 46323 | 2006-11-01 |
| 1083061568 | Thomas Wilkins | Family Medicine | 3432 169th St, Hammond, IN 46323 | 2016-05-16 |
| 1891070678 | Andrea Clarice Nygaard | Pharmacist | 6905 Kennedy Ave, Hammond, IN 46323 | 2011-10-12 |
| 1053584938 | Waneta Deshon Willis-cooper | Developmental Therapist | 6116 Marshall Ave, Hammond, IN 46323-1054 | 2008-04-10 |
| 1255948204 | Independence Plus-in, LLC | Home Health | 2901 Carlson Dr Ste 361, Hammond, IN 46323-1100 | 2020-09-24 |
| 1174146799 | Inspire Nursing Services | Home Health | 2901 Carlson Dr Ste 371, Hammond, IN 46323-1100 | 2020-05-19 |
| 1134241805 | Gina Marie Maldonado | Developmental Therapist | 3232 165th St, Hammond, IN 46323-1213 | 2007-04-04 |
| 1871659599 | Joseph Robert Kolanko | Chiropractor | 3224 165th St, Hammond, IN 46323-1218 | 2006-12-28 |
| 1114211844 | Swts | Non-emergency Medical Transport (VAN) | 6411 Grand Ave, Hammond, IN 46323-1230 | 2011-05-27 |
| Find all providers in zip 46323 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205029535 | Hammond Tangipahoa Juneteenth | Custodial Care Facility | 311 E Michigan St, Hammond, LA 70401-2650 | 2007-08-21 |
| 1396961223 | Arc Bridges, Inc | Custodial Care Facility | 6511 Nebraska Ave, Hammond, IN 46323-1850 | 2007-04-18 |
| 1124243126 | Arc Bridges, Inc | Custodial Care Facility | 7318 Arkansas Ave, Hammond, IN 46323-2660 | 2007-04-16 |
| 1306267059 | Abundance and Beyond Home Health PCa, Inc. | Custodial Care Facility | 1000 N Morrison Blvd, Suite A, Hammond, LA 70401-2233 | 2013-12-26 |
| 1093015315 | Adhc of Hammond | Custodial Care Facility | 44129 S Airport Rd, Hammond, LA 70403-0303 | 2010-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315095 | Shana P Graham | Custodial Care Facility | 8308 E 11th St, Indianapolis, IN 46219-4003 | 2020-10-28 |
| 1730650169 | Benson Ngarambe | Custodial Care Facility | 719 Roland Ct, South Bend, IN 46601-3461 | 2018-12-11 |
| 1629513700 | Violet Johnson | Custodial Care Facility | 3213 N Riley Ave, Indianapolis, IN 46218-2350 | 2016-12-28 |
| 1477931764 | Grace Adult Family Care LLC | Custodial Care Facility | 2947 N Colorado Ave, Indianapolis, IN 46218-3116 | 2015-05-07 |
| 1164852505 | R&l Supportive Living Corp. | Custodial Care Facility | 3754 Jackson St, Gary, IN 46408-2226 | 2013-11-21 |
| 1598005423 | National Mentor Healthcare LLC | Custodial Care Facility | 6032 W 7th Ave, Gary, IN 46406-1314 | 2013-03-01 |
| 1497095327 | National Mentor Healthcare, LLC | Custodial Care Facility | 57155 White Pine Trl, South Bend, IN 46619-5584 | 2013-03-01 |
| 1821358342 | National Mentor Healthcare, LLC | Custodial Care Facility | 1726 N 100 W, Hartford City, IN 47348-9550 | 2012-05-17 |
| 1669732186 | National Mentor Healthcare, LLC | Custodial Care Facility | 2326 Flint Ct, Dyer, IN 46311-1913 | 2012-05-17 |
| 1720356082 | National Mentor Healthcare, LLC | Custodial Care Facility | 210 Fox Orchard Run, Fort Wayne, IN 46825-6579 | 2011-12-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NATIONAL MENTOR HEALTCARE LLC.
| 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.