Organization · Type 2 NPI

National Mentor Healthcare, LLC

Adult Care Home Facility · South Bend, IN

NPI number 1285943993 Active

Practice location

4203 Fellows St
South Bend, IN 46614-2644

Call (317) 581-2380 Map

Mailing address

313 Congress St
Boston, MA 02210-1218

Specialties and licenses

Taxonomy	Code	License
Adult Care Home Facility Primary	311ZA0620X	None listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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NPI record

NPI: 1285943993
Entity type: Organization (Type 2)
Issued: Sep 29, 2010
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 1285943993

National Mentor Healthcare, LLC's National Provider Identifier is 1285943993, issued on Sep 29, 2010. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in South Bend, IN. The record was last updated on Mar 5, 2023.