NATIONAL MENTOR HEALTHCARE, LLC


Address: 204 Blue Spruce Ave, Egg Harbor Twp, NJ 08234-2218
Phone: 7326279890

NATIONAL MENTOR HEALTHCARE, LLC (NPI# 1033599287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033599287
Entity Type Organization
Organization Name NATIONAL MENTOR HEALTHCARE, LLC
Other Organization Name NEW JERSEY MENTOR
Practice Address 204 Blue Spruce Ave
Egg Harbor Twp
NJ 08234-2218
Mailing Address 80 Cottontail Ln
Suite 330
Somerset
NJ 08873-1100
Practice Telephone 7326279890
Mailing Telephone 7326279890
Mailing Fax Number 7325636780
Enumeration Date 2015-06-03
Last Update Date 2015-06-03
Authorized Official Name MR. DANIEL QUINN (OPERATIONS ADMINISTRATION COORD.)
Authorized Official Telephone 7326279890
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
New Jersey MENTOR Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1730644725 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 4 Dogwood Ct, Hackettstown, NJ 07840-4800 2019-02-05
1568927556 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 143 Meadows Rd, Lafayette, NJ 07848-3120 2019-02-05
1548725534 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 23 Waterloo Rd, Stanhope, NJ 07874-3449 2019-02-05
1891250882 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 4 Tall Oaks Rd, Somerset, NJ 08873-3033 2019-02-05
1154886141 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 15 Rockleigh Dr, Ewing, NJ 08628-1516 2019-02-05
1366907354 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 23 Pritchard Ln, Sicklerville, NJ 08081-2013 2019-02-05
1114482007 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 270 Smithburg Rd, Manalapan, NJ 07726-8122 2019-02-05
1376008367 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 521 Townsbury Rd, Great Meadows, NJ 07838-2043 2019-02-05
1225593213 National Mentor Healthcare, LLC Psychiatric Residential Treatment Facility 266 Jackson Mills Rd, Freehold, NJ 07728-8057 2019-02-05
1790235539 National Mentor Healthcare, LLC Residential Treatment Facility, Emotionally Disturbed Children 8 Dugans Grv, Millstone Twp, NJ 08535-8014 2016-10-05

Other Data Sources

Entity Type Entity Name Entity Address
Oklahoma Business Registrations NATIONAL MENTOR HEALTHCARE, LLC 313 Congress St., Boston, MA 02210
Indiana Business Entities NATIONAL MENTOR HEALTHCARE, LLC 313 Congress St, 5th Floor, Boston, MA 02210

Office Location

Street Address 204 BLUE SPRUCE AVE
City EGG HARBOR TWP
State NJ
Zip Code 08234-2218

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073007928 Black Horse Alr LLC Clinic/Center 6817 Black Horse Pike, Egg Harbor Township, NJ 08234 2018-06-14
1548762016 Rebecca Flanigan Dietitian, Registered 2500 English Creek Ave. Building 800, Egg Harbor Township, NJ 08234 2018-03-01
1386164143 Community Quest, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Apartment 312 400 Manor Drive, Absecon, NJ 08234 2017-06-22
1639607740 Swarnalata Debbarma Psychiatry & Neurology Atlanticare Behavioral Health, Inc, Egg Harbor Twp., NJ 08234 2017-06-02
1164956751 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 109 Waverly Road, Cardiff, NJ 08234 2017-04-20
1417481003 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 409 Dogwood Lane, Egg Harbor Township, NJ 08234 2017-04-20
1073047668 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11 Stone Mill Court, Egg Harbor Township, NJ 08234 2017-04-20
1831623412 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 105 Springfield Avenue, Mc Kee City, NJ 08234 2017-04-20
1821453234 Community Quest Respite Care 6814 Tilton Road, Egg Harbor Township, NJ 08234 2015-12-30
1023481074 Caringhouse Projects, Inc Respite Care 15 Erma Drive, Egg Harbor Township, NJ 08234 2015-11-12
Find all providers in zip 08234

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073162723 The Arc of Atlantic County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 210 Heather Croft, Egg Harbor Twp, NJ 08234-4626 2019-09-05
1972017051 The Arc of Atlantic County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7128 Fernwood Ave, Egg Harbor Twp, NJ 08234-5701 2017-11-28
1730692609 The Arc of Atlantic County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 18 Harley Ave, Egg Harbor Twp, NJ 08234-9702 2017-11-14
1649783515 The Arc of Atlantic County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 206 Cedar Ave, Egg Harbor Twp, NJ 08234-5634 2017-11-14
1003329970 The Arc of Atlantic County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2529 Tremont Ave, Egg Harbor Twp, NJ 08234-5564 2017-11-14
1366955262 The Arc of Atlantic County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 150 Heather Croft, Egg Harbor Twp, NJ 08234-4621 2017-11-14
1700399607 The Arc of Atlantic County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 314 Heather Croft, Egg Harbor Twp, NJ 08234-4638 2017-11-14
1710490610 The Arc of Atlantic County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 374 Heather Croft, Egg Harbor Twp, NJ 08234-4643 2017-11-14
1710367768 National Mentor Healthcare, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 207 Sycamore Ave, Egg Harbor Twp, NJ 08234-9325 2015-06-04
1487167359 The Arc of Atlantic County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6550 Delilah Rd Ste 101, Egg Harbor Twp, NJ 08234-5102 2017-11-14
Find all providers in EGG HARBOR TWP

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City EGG HARBOR TWP
Zip Code 08234

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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