NJ MENTOR (NPI# 1326208729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326208729 |
| Entity Type | Organization |
| Organization Name | NJ MENTOR |
| Practice Address |
80 Cottontail Ln Suite 330 Somerset NJ 08873-1100 |
| Practice Telephone | 7326279890 |
| Practice Fax Number | 7326278412 |
| Mailing Telephone | 9086279890 |
| Mailing Fax Number | 9086278412 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | LAUREN SIGUR (STATE ACCOUTNING MANAGER NJ/DE) |
| Authorized Official Telephone | 9086279890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0160857 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831607225 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 Bancroft Ln, Willingboro, NJ 08046-3902 | 2018-01-19 |
| 1639687023 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Northampton Dr, Willingboro, NJ 08046-1324 | 2018-01-19 |
| 1942718333 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Hidden Hollow Ln, Sicklerville, NJ 08081-3910 | 2018-01-19 |
| 1386152825 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 988 Sids Ct, Brick, NJ 08724-7173 | 2018-01-18 |
| 1659993442 | Nj Mentor | Community/Behavioral Health | 80 Cottontail Ln Ste 330, Somerset, NJ 08873-1100 | 2020-05-14 |
| 1750899290 | Nj Mentor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 529 S Atlantic Ave, Aberdeen, NJ 07747-2246 | 2018-01-18 |
| 1053570135 | Nj Mentor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2008-06-04 |
| Street Address |
80 COTTONTAIL LN SUITE 330 |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487779823 | National Mentor Healthcare, LLC | Community/Behavioral Health | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2007-03-21 |
| 1639524606 | National Mentor Healthcare | Residential Treatment Facility, Emotionally Disturbed Children | 80 Cottontail Ln, Ste 330, Somerset, NJ 08873-1100 | 2016-04-27 |
| 1689030736 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2016-01-05 |
| 1376921296 | National Mentor Healthcare, LLC | Community/Behavioral Health | 80 Cottontail Ln, Ste 330, Somerset, NJ 08873-1100 | 2015-05-12 |
| 1053798934 | National Mentor Healthcare, LLC | Clinic/Center | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2015-04-30 |
| 1265819106 | National Mentor Healthcare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2015-04-29 |
| 1548659873 | National Mentor Healthcare LLC | Residential Treatment Facility, Emotionally Disturbed Children | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2015-01-09 |
| 1750780425 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2014-08-19 |
| 1659785350 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2014-06-20 |
| 1184040842 | National Mentor Healthcare LLC | Residential Treatment Facility, Emotionally Disturbed Children | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2014-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
| 1710461157 | Rachnaben Tripathi | Clinic/Center | New Life Adult Daycare, 727 Franklin Blvd., Suite 6, Somerset, NJ 08873 | 2018-09-21 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
| 1548779333 | Alternatives, Inc. | Community/Behavioral Health | 10 Vince Rd, Somerset, NJ 08873 | 2017-09-25 |
| 1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
| 1245766252 | Salma Khan | Dentist | 1543 Nj 27, Somerset, NJ 08873 | 2017-05-11 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in zip 08873 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760920441 | Enable, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Flower Rd, Somerset, NJ 08873-3318 | 2017-02-02 |
| 1699213371 | Enable, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1260 Easton Ave, Somerset, NJ 08873-1612 | 2017-02-02 |
| 1114464872 | Enable, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22 Lebed Dr, Somerset, NJ 08873-2932 | 2017-01-19 |
| 1679571830 | Commonwealth of Kentucky | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2441 South Highway 27, Somerset, KY 42501 | 2005-07-12 |
| 1649430471 | National Mentor Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2008-06-16 |
| 1245499326 | National Mentor Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2008-06-04 |
| 1215196399 | National Mentor Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2008-06-04 |
| 1053570135 | Nj Mentor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2008-06-04 |
| 1487813564 | National Mentor Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2008-06-04 |
| 1548429608 | National Mentor Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2008-06-04 |
| Find all providers in SOMERSET | ||||
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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.