Organization · Type 2 NPI

National Mentor Healthcare Llc.

Community/Behavioral Health Agency · Rancho Cucamonga, CA

NPI number 1255790572 Active

Practice location

9166 Anaheim Pl Ste 200
Rancho Cucamonga, CA 91730-8547

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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 suppo…

3 other providers at this address

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NPI record

NPI: 1255790572
Entity type: Organization (Type 2)
Issued: Feb 15, 2016
Last updated: Mar 5, 2023
Status: Active
Subpart: Yes of National Mentor Healthcare Llc.

Other names

<unavail>
Creative Home Programs · doing business as
Creative Home Programs · doing business as

Authorized official

Brett Ian Cohen
COO
(800) 388-5150

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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 1255790572

National Mentor Healthcare Llc.'s National Provider Identifier is 1255790572, issued on Feb 15, 2016. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Mar 5, 2023.