NATIONAL MENTOR HEALTHCARE, LLC (NPI# 1972972164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972972164 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE, LLC |
| Other Organization Name | NEW JERSEY MENTOR |
| Practice Address |
509 Mine Road Bethlehem Township NJ 08802 |
| Mailing Address |
80 Cottontail Ln Suite 330 Somerset NJ 08873-1100 |
| Practice Telephone | 7326279890 |
| Practice Fax Number | 7325636780 |
| Mailing Telephone | 7326279890 |
| Mailing Fax Number | 7325636780 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Authorized Official Name | MR. DANIEL QUINN (OPERATIONS ADMINISTRATION COORD.) |
| Authorized Official Telephone | 7326279890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| New Jersey MENTOR | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644725 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 4 Dogwood Ct, Hackettstown, NJ 07840-4800 | 2019-02-05 |
| 1568927556 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 143 Meadows Rd, Lafayette, NJ 07848-3120 | 2019-02-05 |
| 1548725534 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 23 Waterloo Rd, Stanhope, NJ 07874-3449 | 2019-02-05 |
| 1891250882 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 4 Tall Oaks Rd, Somerset, NJ 08873-3033 | 2019-02-05 |
| 1154886141 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 15 Rockleigh Dr, Ewing, NJ 08628-1516 | 2019-02-05 |
| 1366907354 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 23 Pritchard Ln, Sicklerville, NJ 08081-2013 | 2019-02-05 |
| 1114482007 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 270 Smithburg Rd, Manalapan, NJ 07726-8122 | 2019-02-05 |
| 1376008367 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 521 Townsbury Rd, Great Meadows, NJ 07838-2043 | 2019-02-05 |
| 1225593213 | National Mentor Healthcare, LLC | Psychiatric Residential Treatment Facility | 266 Jackson Mills Rd, Freehold, NJ 07728-8057 | 2019-02-05 |
| 1790235539 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 8 Dugans Grv, Millstone Twp, NJ 08535-8014 | 2016-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | NATIONAL MENTOR HEALTHCARE, LLC | 313 Congress St., Boston, MA 02210 |
| Indiana Business Entities | NATIONAL MENTOR HEALTHCARE, LLC | 313 Congress St, 5th Floor, Boston, MA 02210 |
| Street Address |
509 MINE ROAD |
| City | BETHLEHEM TOWNSHIP |
| State | NJ |
| Zip Code | 08802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124347042 | Mary D Mcgarvey | Social Worker | 452 Mine Road, Asbury, NJ 08802 | 2010-05-18 |
| 1316137748 | Sher Institute for Reproductive Medicine | Obstetrics & Gynecology | 171 State Route 173, Ste 301, Asbury, NJ 08802 | 2007-08-01 |
| 1548617913 | Lisa Smith | Pharmacist | 15 Inscho Rd, Asbury, NJ 08802-1044 | 2016-05-16 |
| 1982154589 | Rachael Theresa Detore | Specialist/Technologist | 10 Wyckoff Ct, Asbury, NJ 08802-1091 | 2016-10-06 |
| 1154502359 | Stars & Stripes Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 1091 State Route 173, Asbury, NJ 08802-1126 | 2007-11-16 |
| 1548535438 | Nancy L Douglass | Counselor | 191 W Portal Rd, Asbury, NJ 08802-1136 | 2012-03-12 |
| 1700112349 | Pamela Eck Hutchison | Physical Therapist | 10 Willever Rd, Asbury, NJ 08802-1158 | 2009-11-01 |
| 1841257565 | Joseph Michael Estacio | Radiology | 19 Old Schoolhouse Rd, Asbury, NJ 08802-1202 | 2006-04-27 |
| 1417394701 | Christine Rehman | Counselor | 6 Fawn Way, Asbury, NJ 08802-1310 | 2013-05-28 |
| 1033597968 | Kimberly Stricker | Nurse Practitioner | 700 Deerfield Ln, Asbury, NJ 08802-1317 | 2015-05-12 |
| Find all providers in zip 08802 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427519727 | Willowglen Academy - New Jersey. Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 357 Route 94, Newton, NJ 07860-5136 | 2019-03-28 |
| 1649731290 | Willowglen Academy - New Jersey. Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 22 Route 519, Newton, NJ 07860-6230 | 2019-03-27 |
| 1639656705 | Devereux Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 124 Wertsville Rd, Hillsborough, NJ 08844-3908 | 2018-07-23 |
| 1164938049 | Saving Grace Ministries Inc | Residential Treatment Facility, Emotionally Disturbed Children | 436 Spruce St, Camden, NJ 08103-2032 | 2017-12-14 |
| 1790235539 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 8 Dugans Grv, Millstone Twp, NJ 08535-8014 | 2016-10-05 |
| 1619421104 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 201 Stillhouse Rd, Millstone Twp, NJ 08510-7967 | 2016-08-12 |
| 1396192886 | Ranch Hope Inc | Residential Treatment Facility, Emotionally Disturbed Children | 45 Sawmill Rd, Alloway, NJ 08001-1004 | 2016-05-16 |
| 1548641459 | Allies, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 46 Featherbed Ln, Flemington, NJ 08822-5638 | 2015-06-16 |
| 1760891055 | Therapeutic Alternatives | Residential Treatment Facility, Emotionally Disturbed Children | 20 Hadley Ln, Suite 100, Willingboro, NJ 08046-1701 | 2014-08-12 |
| 1558770842 | Therapeutic Alternatives | Residential Treatment Facility, Emotionally Disturbed Children | 593 Sergey Rd, Jackson, NJ 08527-4705 | 2014-08-12 |
| Find all providers with the same taxonomy | ||||
| City | BETHLEHEM TOWNSHIP |
| Zip Code | 08802 |
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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.