NATIONAL MENTOR HEALTHCARE LLC (NPI# 1982910675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982910675 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE LLC |
| Other Organization Name | INDIANA MENTOR ADULT FOSTER CARE |
| Practice Address |
9740 E 21st St Indianapolis IN 46229-1708 |
| Mailing Address |
8925 N Meridian St Suite 200 Indianapolis IN 46260-2386 |
| Practice Telephone | 3175812380 |
| Mailing Telephone | 3175812380 |
| Mailing Fax Number | 3175812378 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |
| Authorized Official Name | DANIEL MOHNKE (STATE DIRECTOR) |
| Authorized Official Telephone | 3175812380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PROVIDER NUMBER | 200193830O | 01 |
| Other Name | Type Code |
|---|---|
| Indiana MENTOR Adult Foster Care | 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 |
| 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 |
| Street Address |
9740 E 21ST ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46229-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487150124 | Patrice R. Mosley | Registered Nurse | 9385 E Washington St, Indianapolis, IN 46229 | 2018-04-02 |
| 1013424621 | Latasha Fisher | Registered Nurse | 9822 Fulbrook Dr, Indianapolis, IN 46229 | 2018-01-04 |
| 1417324856 | Ourhealth Physicians Group, LLC | Clinic/Center | 9934 E Washington Street, Indianapolis, IN 46229 | 2015-09-01 |
| 1134479470 | Loving Hands Senior Care and Relocation | In Home Supportive Care | 9702 E Washington Ste 400 Pmd 185, Indianapolis, IN 46229 | 2012-09-13 |
| 1902155815 | Planned Parenthood of Indiana Eastside | Clinic/Center | 9385 E. Washington St., Indianapolis, IN 46229 | 2012-09-06 |
| 1407092497 | Amy Katherine Graham | Chiropractor | 11020 E 10th St Ste B, Indianapolis, IN 46229 | 2008-12-23 |
| 1043408610 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 9630 Washington Street, Indianapolis, IN 46229 | 2007-10-09 |
| 1487867024 | Holli A H Bowser | Dietitian, Registered | 9660 E Washington St, Indianapolis, IN 46229 | 2007-05-08 |
| 1336361708 | Dental Professionals of Indiana, P.C. | Dentist | 986 North Mitthoeffer, Indianapolis, IN 46229 | 2007-05-03 |
| 1386865558 | Gary Lee Bacon | Dentist | 316 Washington Pointe Drive, Indianapolis, IN 46229 | 2007-05-02 |
| Find all providers in zip 46229 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750851192 | Stimuli Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6670 Kinnerton Dr, Indianapolis, IN 46254-5843 | 2018-11-28 |
| 1659847168 | Assured Residential and Consulting, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5555 N Tacoma Ave Ste 101, Indianapolis, IN 46220-3551 | 2018-10-23 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1497144042 | Jennifer Whitlow | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6710 Waverhill Dr, Indianapolis, IN 46217-9101 | 2015-01-21 |
| 1659677839 | Sycamore Rehab Services/hendricks Co. Arc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 W Hanna Ave, Indianapolis, IN 46217-5102 | 2011-02-04 |
| 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 |
| 1063728723 | National Mentor Healthcare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6705 E 49th St, Indianapolis, IN 46226-2549 | 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 |
| 1750538427 | Roger Lee Higgins Jr. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6104 W Lake South Dr, Apt A, Indianapolis, IN 46224-7647 | 2008-08-25 |
| 1821267576 | Access LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7437 Sharzad Pl, Indianapolis, IN 46227-5432 | 2008-02-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46229 |
Please comment or provide details below to improve the information on NATIONAL MENTOR HEALTHCARE 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.