Organization · Type 2 NPI

National Mentor Healthcare, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Merrillville, IN

NPI number 1194974394 Active

Practice location

5635 Meadow Ln
Merrillville, IN 46410-2053

Call (317) 581-2380 Map

Fax (317) 581-2378

Mailing address

313 Congress St
Boston, MA 02210-1218

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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NPI record

NPI: 1194974394
Entity type: Organization (Type 2)
Issued: Sep 11, 2008
Last updated: Mar 5, 2023
Status: Active

Other names

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Indiana Mentor Adult Foster Care · doing business as
Indiana Mentor Adult Foster Care · doing business as

Authorized official

Brett Ian Cohen
COO
(800) 388-5150

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194974394

National Mentor Healthcare, LLC's National Provider Identifier is 1194974394, issued on Sep 11, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Merrillville, IN. The record was last updated on Mar 5, 2023.