NATIONAL MENTOR HEALTHCARE, LLC (NPI# 1992840839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992840839 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE, LLC |
| Other Organization Name | NC MENTOR |
| Practice Address |
312 Rockingham St Carthage NC 28327-6060 |
| Mailing Address |
3125 Poplarwood Ct Suite 300 Raleigh NC 27604-1084 |
| Practice Telephone | 9197908580 |
| Practice Fax Number | 9197908065 |
| Mailing Telephone | 9197908580 |
| Mailing Fax Number | 9197908065 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2010-03-23 |
| Authorized Official Name | CHARLES DAVIS (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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301612 | 05 |
| Other Name | Type Code |
|---|---|
| NC 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 |
312 ROCKINGHAM ST |
| City | CARTHAGE |
| State | NC |
| Zip Code | 28327-6060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629433230 | Erin Elizabeth Morgan | Physician Assistant | 7473 Highway 22, Whispering Pines, NC 28327 | 2015-12-24 |
| 1710360409 | David Brill | Pharmacist | 7475 North Carolina Highway 22, Carthage, NC 28327 | 2015-06-30 |
| 1306267943 | Yarona Thomas | Counselor | 303 N. Mcneill St., Unit 4, Carthage, NC 28327 | 2013-12-29 |
| 1922445618 | Linda Anne Newman | Pharmacist | 400 Millcreek Rd, Harris Teeter #212, Carthage, NC 28327 | 2013-06-04 |
| 1053690867 | Harris Teeter, LLC | Pharmacy | 400 Mill Creek Rd, Carthage, NC 28327 | 2011-08-10 |
| 1689980146 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 7475 Nc Hwy 22, Carthage, NC 28327 | 2010-08-23 |
| 1861627143 | Sharon A. Wright | Chiropractor | 111-a S. Mcneill St, Carthage, NC 28327 | 2009-05-15 |
| 1225230709 | Virginia F. Dula | Specialist | 212 Brightleaf Dr, Whispering Pines, NC 28327 | 2007-06-05 |
| 1801946991 | Southern Pines Prescription Shop, Inc | Pharmacy | 1016 Monroe St, Carthage, NC 28327 | 2007-01-11 |
| 1982799029 | Tara Plantation of Carthage, LLC | Assisted Living Facility | 820 S. Mcneill Street, Carthage, NC 28327 | 2006-10-04 |
| Find all providers in zip 28327 | ||||
| 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 |
|---|---|---|---|---|
| 1265821789 | Chance Enterprises, Inc. | Community/Behavioral Health | 104 Third Ave E, Carthage, TN 37030-1471 | 2015-01-21 |
| 1508158429 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 30 Randolph St Bldg A, Carthage, IL 62321-1266 | 2011-05-11 |
| 1417249335 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 30 Randolph St Bldg B, Carthage, IL 62321-1266 | 2011-05-11 |
| 1144512062 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 30 Randolph St Bldg C, Carthage, IL 62321-1266 | 2011-05-11 |
| 1053603977 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 30 Randolph St Bldg D, Carthage, IL 62321-1266 | 2011-05-11 |
| 1801193727 | Family Strategies Counseling Center | Community/Behavioral Health | 117 W Sabine St, Carthage, TX 75633-2609 | 2011-02-13 |
| 1720318660 | Bykota Church Ministries | Community/Behavioral Health | 430 W Elk St, Carthage, MO 64836-3607 | 2009-12-27 |
| 1962570465 | Carthage Counseling LLC | Community/Behavioral Health | 2411 Fairlawn Dr, Carthage, MO 64836 | 2006-12-01 |
| 1851755276 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 607 Buchanan St, Carthage, IL 62321-1401 | 2016-04-12 |
| 1699166611 | Carthage Area Behavioral Health | Community/Behavioral Health | 3 Bridge St, Carthage, NY 13619-1360 | 2015-02-12 |
| Find all providers in CARTHAGE | ||||
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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.