Organization · Type 2 NPI

National Mentor Healthcare, LLC

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

NPI number 1720237928 Active

Practice location

3528 Fillmore St
Gary, IN 46408-1542

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.

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Gary

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NPI record

NPI: 1720237928
Entity type: Organization (Type 2)
Issued: Sep 11, 2008
Last updated: Mar 19, 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

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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 1720237928

National Mentor Healthcare, LLC's National Provider Identifier is 1720237928, 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 Gary, IN. The record was last updated on Mar 19, 2023.