NATIONAL MENTOR HEALTHCARE, LLC (NPI# 1346526860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346526860 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE, LLC |
| Other Organization Name | NC MENTOR |
| Practice Address |
4035 University Pkwy Suite 101 Winston Salem NC 27106-3276 |
| Mailing Address |
3125 Poplarwood Ct Suite 300 Raleigh NC 27604-6445 |
| Practice Telephone | 3363971560 |
| Practice Fax Number | 3363971566 |
| Mailing Telephone | 9197908580 |
| Mailing Fax Number | 9198663255 |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2014-11-14 |
| Authorized Official Name | PRESTON SCOTT MARTIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9197908580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Other Name | Type Code |
|---|---|
| NC 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 |
4035 UNIVERSITY PKWY SUITE 101 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-3276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982149142 | Jessica Kowalski Price | Counselor | 4035 University Pkwy, Suite 101, Winston Salem, NC 27106 | 2016-12-27 |
| 1801347794 | Andrew Jonathan Dunleavy | Social Worker | 4035 University Pkwy, Winston Salem, NC 27106-3276 | 2016-10-17 |
| 1003284852 | Pinnacle Family Services of North Carolina LLC | Counselor | 4035 University Pkwy, Ste 101, Winston Salem, NC 27106-3276 | 2015-09-10 |
| 1740600634 | Melinda Snyder | Counselor | 4035 University Pkwy, Winston Salem, NC 27106-3276 | 2014-04-18 |
| 1003236050 | Institute for Family Centered Services | Early Intervention Provider Agency | 4035 University Pkwy, Suite 101, Winston Salem, NC 27106-3276 | 2014-04-17 |
| 1114360294 | Jill Annamarie Murdock | Counselor | 4035 University Pkwy, Suite 101, Winston Salem, NC 27106-3276 | 2013-04-09 |
| 1114278546 | Leslie Mann | Marriage & Family Therapist | 4035 University Pkwy, Suite 101, Winston Salem, NC 27106-3276 | 2012-09-25 |
| 1780989004 | Kevin Richard Donnelly | Social Worker | 4035 University Pkwy, Suite 101, Winston Salem, NC 27106-3276 | 2011-01-18 |
| 1598067126 | Lisa Friebele Morris | Counselor | 4035 University Pkwy, Suite 101, Winston Salem, NC 27106-3276 | 2010-12-02 |
| 1689818510 | Institute for Family Centered Services | Community/Behavioral Health | 4035 University Pkwy, Suite 101, Winston Salem, NC 27106-3276 | 2009-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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|---|---|---|---|---|
| 1497364277 | Creative Solutions | Public Health or Welfare | 10133 Orchard Grass Ct, Charlotte, NC 28278-7853 | 2020-07-28 |
| 1538633920 | Community Expert Solutions | Public Health or Welfare | 611 Ashburn Ln, Durham, NC 27703-9618 | 2019-01-18 |
| 1437684065 | Patient Advocacy Healthcare Consulting | Public Health or Welfare | 8608 Everton Dr, 101, Charlotte, NC 28273-3016 | 2017-04-20 |
| 1295275170 | Nc Dept of Public Safety | Public Health or Welfare | 2821 Us 903 N, Maury, NC 28554 | 2017-02-27 |
| 1831636893 | Independent Personal Training Studios | Public Health or Welfare | 6503 Hilburn Dr, Raleigh, NC 27613-1908 | 2017-01-27 |
| 1285081562 | Appalachian District Health Department | Public Health or Welfare | 255 Northwest Lane, Warrensville, NC 28693 | 2016-05-17 |
| 1609233683 | Peace of H.o.p.e Foundation Inc | Public Health or Welfare | 4004 Coltrain Rd Apt B, Greensboro, NC 27455-2738 | 2016-01-22 |
| 1649666876 | Worthington Health Services LLC | Public Health or Welfare | 818 W Terrell St, Greensboro, NC 27406-2750 | 2015-04-14 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| 1346630704 | County of Carteret Courthouse Square Finance Office | Public Health or Welfare | 3820 Bridges St Suite A, Morehead City, NC 28557-2918 | 2015-01-23 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
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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.