Organization · Type 2 NPI

Massachusetts Mentor LLC

Foster Care Agency · Brockton, MA

NPI number 1811021090 Active

Practice location

1115 W Chestnut St Ste 202
Brockton, MA 02301-7501

Call (781) 326-4207 Map

Fax (781) 326-4654

Mailing address

6600 France Ave S Ste 350
Edina, MN 55435-1810

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	1615 (MA)
Foster Care Agency Primary	253J00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed

Foster Care Agency: A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

3 other providers at this address

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About NPI 1811021090

Massachusetts Mentor LLC's National Provider Identifier is 1811021090, issued on Mar 16, 2007. The primary taxonomy on file is Foster Care Agency (253J00000X), and the practice location is in Brockton, MA. The record was last updated on Jun 20, 2026.