NATIONAL MENTOR HEALTHCARE, LLC (NPI# 1073637807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073637807 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE, LLC |
| Other Organization Name | RHODE ISLAND MENTOR |
| Practice Address |
25 Thurber Blvd Smithfield RI 02917 |
| Mailing Address |
625 W Ridge Pike Bldg B Suite 102 Conshohocken PA 19428 |
| Practice Telephone | 4012310739 |
| Practice Fax Number | 4012320651 |
| Mailing Telephone | 6108342971 |
| Mailing Fax Number | 6108252831 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-09-01 |
| Authorized Official Name | ELIZABETH LOZANO (BUSINESS MANAGER) |
| Authorized Official Telephone | 7813207609 |
| Is Organization Subpart | Y |
| Parent Organization Name | NATIONAL MENTOR HEALTHCARE LLC DBA RHODE ISLAND MENTOR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | 323 | RI | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 45813 | RI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | PROVIDER NUMBER | MC11015 | 01 |
| Other Name | Type Code |
|---|---|
| Rhode Island Mentor | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
25 THURBER BLVD |
| City | SMITHFIELD |
| State | RI |
| Zip Code | 02917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922468347 | Erin Holloway | Social Worker | 25 Thurber Blvd, Smithfield, RI 02917-1816 | 2016-02-26 |
| 1780041889 | Siobhan O'brien | Social Worker | 25 Thurber Blvd, Smithfield, RI 02917 | 2016-01-20 |
| 1154787869 | The Arc of Bristol County Dba Proability | In Home Supportive Care | 25 Thurber Blvd, Unit 2, Smithfield, RI 02917-1816 | 2016-01-11 |
| 1770821910 | Jessica Madison | Nurse Practitioner | 25 Thurber Blvd, Unit 6, Smithfield, RI 02917-1816 | 2013-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124473897 | Karen K. Mckenzie | Social Worker | 25 Thurber Blvd. Unit #2, Smithfield, RI 02917 | 2016-04-29 |
| 1518208818 | Phalanx Med Rhode Island, LLC | Durable Medical Equipment & Medical Supplies | 400 Putnam Pike, Suite J #232, Smithfield, RI 02917 | 2013-03-12 |
| 1710230453 | Lifeline Ambulance LLC | Ambulance | 130 Rocky Hill Road, Smithfield, RI 02917 | 2012-10-18 |
| 1689965337 | Cynthia Ann Tracy | Social Worker | 28 Cedar Swamp Road, Smithfield, RI 02917 | 2011-04-29 |
| 1871794636 | Denise Coffey | Counselor | 47a Cedar Swamp Rd, Smithfield, RI 02917 | 2007-05-30 |
| 1124127998 | Senior Lifestyle North Bay Limited Partnership | Assisted Living Facility | 171 Pleasant View Ave, Smithfield, RI 02917 | 2006-09-21 |
| 1700899986 | Mary Kay Uchmanowicz | Audiologist | 151 Douglas Pike, Smithfield, RI 02917 | 2006-08-15 |
| 1689685042 | John Michael Corsi | Internal Medicine | 28 Cedar Swamp Rd, Smithfield, RI 02917 | 2006-08-11 |
| 1962442376 | Sharon Q Capuano | Nurse Practitioner | 1150 Douglas Pike, Smithfield, RI 02917 | 2006-06-07 |
| 1336614452 | Carol Sue Crowther | Social Worker | 910 Douglas Pike, Smithfield, RI 02917 | 2018-10-04 |
| Find all providers in zip 02917 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406986 | Linds 5, Inc. | Community/Behavioral Health | 152 Harris Rd, Smithfield, RI 02917-1931 | 2020-10-28 |
| 1750774477 | Community Empowerment LLC | Community/Behavioral Health | 17155 Riddick Rd, Smithfield, VA 23430-6413 | 2015-03-05 |
| 1467885921 | Q1 Clinical Consultants,llc | Community/Behavioral Health | 120 Jethro Cir, Smithfield, NC 27577-6941 | 2013-08-19 |
| 1740537489 | Divine Destiny Adult Care Inc. | Community/Behavioral Health | 612 Powell St, Smithfield, NC 27577-3118 | 2012-08-13 |
| 1407128648 | Bridgebuilders Family and Youth Services, Inc | Community/Behavioral Health | 610 Powell St, Smithfield, NC 27577-3118 | 2012-02-03 |
| 1669763421 | Nova-ic, Inc | Community/Behavioral Health | 1329d N Brightleaf Blvd, Smithfield, NC 27577-7259 | 2011-04-28 |
| 1790096030 | Cornerstone Community Support Services, Inc. | Community/Behavioral Health | 831 S Brightleaf Blvd, Smithfield, NC 27577-4385 | 2010-07-01 |
| 1336465897 | Rising Phoenix Professional Services, LLC | Community/Behavioral Health | 101-1 N. 4th Street, Smithfield, NC 27577-3941 | 2010-04-08 |
| 1952637977 | Aspirations and Miralces Community Support Services | Community/Behavioral Health | 723 S 3rd St, Suite A, Smithfield, NC 27577-4399 | 2009-10-27 |
| 1336474790 | New Creation Services for Children / Adults, Inc. | Community/Behavioral Health | 210 Brigge St., Suite 113, Smithfield, NC 27577-0000 | 2009-10-02 |
| Find all providers in SMITHFIELD | ||||
| City | SMITHFIELD |
| Zip Code | 02917 |
Please comment or provide details below to improve the information on NATIONAL MENTOR HEALTHCARE, LLC.
| 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.