NATIONAL MENTOR HEALTHCARE (NPI# 1093088510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093088510 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE |
| Other Organization Name | TEXAS MENTOR |
| Practice Address |
4150 Freidrich Ln Bldg N Suite G Austin TX 78744-1800 |
| Practice Telephone | 5123268866 |
| Practice Fax Number | 5123264102 |
| Mailing Telephone | 5123268866 |
| Mailing Fax Number | 5123264102 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | MR. GARY WAYNE JETER (STATE DIRECTOR) |
| Authorized Official Telephone | 5123268866 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 0000H08EW | TX | Agencies |
| Y | 253J00000X | Foster Care Agency | 0000H08EW | TX | Agencies |
| Other Name | Type Code |
|---|---|
| Texas MENTOR | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245494178 | National Mentor Healthcare | Residential Treatment Facility, Physical Disabilities | 15032 N 37th Ave, Phoenix, AZ 85053 | 2008-07-10 |
| 1861607186 | National Mentor Healthcare | Case Management | 4150 Freidrich Ln Bldg N, Suite G, Austin, TX 78744-1800 | 2007-05-11 |
| 1114070752 | National Mentor Healthcare | Day Training, Developmentally Disabled Services | 2700 N 3rd St Ste 4000, Phoenix, AZ 85004-1173 | 2007-01-18 |
| 1639220619 | National Mentor Healthcare | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1285 Flamingo Dr, Lantana, FL 33462-1507 | 2007-01-16 |
| 1639524606 | National Mentor Healthcare | Residential Treatment Facility, Emotionally Disturbed Children | 80 Cottontail Ln, Ste 330, Somerset, NJ 08873-1100 | 2016-04-27 |
| 1851604599 | National Mentor Healthcare | Community/Behavioral Health | 7 Oak Branch Dr Ste C, Greensboro, NC 27407-2392 | 2010-07-23 |
| 1275844680 | National Mentor Healthcare | Community/Behavioral Health | 2055 Wood St, Suite 118, Sarasota, FL 34237-7903 | 2010-06-30 |
| 1083730477 | National Mentor Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2007-03-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | National Mentor HealthCare Inc. | 313 Congress Street, Boston, Massachusetts 02210 |
| North Carolina Corporations | National Mentor Healthcare Inc. | 2 South Salisbury Street, Raleigh, NC 27601 |
| Virginia Business Entities | National Mentor Healthcare LLC | The Mentor Network, 313 Congress St 5th Fl, Boston, Massachusetts 02210 |
| Indiana Business Entities | NATIONAL MENTOR HEALTHCARE, INC. | 313 Congress St, Boston, MA 02210 |
| Oklahoma Business Registrations | NATIONAL MENTOR HEALTHCARE, INC. | 313 Congress St, Boston, MA 02210 |
| 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 |
4150 FREIDRICH LN BLDG N SUITE G |
| City | AUSTIN |
| State | TX |
| Zip Code | 78744-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861607186 | National Mentor Healthcare | Case Management | 4150 Freidrich Ln Bldg N, Suite G, Austin, TX 78744-1800 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1285245753 | Michelle Susan Kuczkowski | Nurse Practitioner | 6230 E. Stassney Lane, Austin, TX 78744 | 2020-08-10 |
| 1497365704 | Kaushal Mansinhbhai Chaudhari | Dentist | 1612 E William Cannon Dr, Austin, TX 78744 | 2020-08-03 |
| 1124664933 | Andre Nettie Gardiner-martinez | Social Worker | 7701 Metropolis Drive, Bldg 13, Suite 100, Austin, TX 78744 | 2019-11-27 |
| 1699259192 | Kedra S Priest | Counselor | 5015 Sih 35, Austin, TX 78744 | 2018-09-20 |
| 1720568512 | Melissa Jonfe-quinto | Speech-Language Pathologist | 8300 Bluff Springs Road, Apt 616, Austin, TX 78744 | 2018-08-21 |
| 1255821195 | Samantha Padilla | Nurse Practitioner | 7701 Metropolis Dr., Austin, TN 78744 | 2018-05-16 |
| 1275050544 | Ann-marie Keller | Student in an Organized Health Care Education/Training Program | 7900 Ardmore Circle, Austin, TX 78744 | 2017-08-27 |
| 1477944171 | Lindsay Box | Counselor | 5015 S Ih-35 Frontage Rd, #200, Austin, TX 78744 | 2015-02-17 |
| 1487050308 | William Alexander Terry | Social Worker | 5015 S Ih 35 Frontage Rd #200, Austin, TX 78744 | 2014-11-05 |
| Find all providers in zip 78744 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | 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. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588098479 | Julie Lynne Skinness | Foster Care Agency | 1803 8th Ave Sw, Austin, MN 55912-1703 | 2013-08-27 |
| 1114254463 | Safe Harbor Youth & Family Services | Foster Care Agency | 13640 Briarwick Dr, 120, Austin, TX 78729-1706 | 2009-11-06 |
| 1861627440 | House of Refuge Care Homes | Foster Care Agency | 1305 Radcliff Dr., Austin, TX 78752 | 2009-05-26 |
| 1275768459 | Posabilities Inc | Foster Care Agency | 8011 Cameron Rd, Suite 100, Austin, TX 78754-3811 | 2009-05-18 |
| 1851761266 | Pinnacle Family Services | Foster Care Agency | 2101 S Ih 35, Ste. 100, Austin, TX 78741-3800 | 2015-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553258 | Ruth Guillen | Foster Care Agency | 2032 N 77 Sunshinestrip, Harlingen, TX 78550-4127 | 2020-09-16 |
| 1255951562 | Toni Lee Leday | Foster Care Agency | 3210 Clipper Winds Way, Houston, TX 77084-7618 | 2020-04-16 |
| 1528697794 | Melba Foster Care | Foster Care Agency | 21934 Grand Brook Ln, Richmond, TX 77469-6362 | 2020-04-08 |
| 1285267955 | Vanessa Horn | Foster Care Agency | 851 Woodridge Cir, Desoto, TX 75115-7568 | 2020-02-20 |
| 1215597422 | Samuel E. Aghaziem | Foster Care Agency | 228 The Falls Dr, Sunnyvale, TX 75182-6204 | 2019-06-19 |
| 1285199752 | Starry | Foster Care Agency | 1300 N Mays St, Round Rock, TX 78664-4207 | 2019-02-08 |
| 1003391947 | Bertha Alicia Carvallo | Foster Care Agency | 2725 Fillmore, El Paso, TX 79930 | 2018-09-26 |
| 1861987141 | Madre Teresa Adult Foster Home | Foster Care Agency | 2909 Lake Spier Dr, El Paso, TX 79936-3319 | 2018-06-28 |
| 1386136612 | Advantage Star | Foster Care Agency | 1801 N Hampton Rd Ste 418, Desoto, TX 75115-2422 | 2018-06-01 |
| 1730670589 | Monica Graves | Foster Care Agency | 1029 Aries St, Cedar Hill, TX 75104-3263 | 2018-05-27 |
| Find all providers with the same taxonomy | ||||
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| 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.