MENTOR ABI (NPI# 1386879096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386879096 |
| Entity Type | Organization |
| Organization Name | MENTOR ABI |
| Other Organization Name | NEURORESTORATIVE NEW HAMPSHIRE |
| Practice Address |
6 King Rd Chichester NH 03258-6533 |
| Mailing Address |
639 Granite St Braintree MA 02184-5366 |
| Practice Telephone | 6037983376 |
| Practice Fax Number | 6037983748 |
| Mailing Telephone | 7813566330 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2015-05-27 |
| Authorized Official Name | MR. SCOTT DAVIS (SR. BUSINESS DIRECTOR) |
| Authorized Official Telephone | 6183031577 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| N | 283X00000X | Rehabilitation Hospital | Hospitals | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| NeuroRestorative New Hampshire | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265908388 | Mentor Abi | Rehabilitation Hospital | 115a Leeds Point Rd, Galloway, NJ 08205-4211 | 2018-10-16 |
| 1033426739 | Mentor Abi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 986 Sebago Rd, Sebago, ME 04029-3814 | 2010-09-02 |
| 1740596568 | Mentor Abi | Community Based Residential Treatment Facility, Mental Illness | 2000 Crawford Pl Ste 700, Mount Laurel, NJ 08054-3950 | 2010-08-31 |
| 1023338639 | Mentor Abi | Rehabilitation Hospital | 446 Sycamore Road, Pleasanton, CA 94588 | 2010-06-04 |
| 1366762296 | Mentor Abi | Rehabilitation Hospital | 6512 E Ludlow Dr, Scottsdale, AZ 85254-3311 | 2010-06-02 |
| 1558686576 | Mentor Abi | Community Based Residential Treatment Facility, Mental Illness | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2010-04-01 |
| 1669592234 | Mentor Abi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1510 Seneca Dr, Blacksburg, VA 24060-2464 | 2007-03-29 |
| 1639476617 | Mentor Abi | Day Training, Developmentally Disabled Services | 4219 S County Trl, Charlestown, RI 02813-3628 | 2011-02-28 |
| 1649574252 | Mentor Abi | Community Based Residential Treatment Facility, Mental Illness | 5310 Buena Park Rd, Waterford, WI 53185-2907 | 2010-12-23 |
| 1013236124 | Mentor Abi | Rehabilitation Hospital | 639 Granite St, Suite 215, Braintree, MA 02184-5366 | 2010-05-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Mentor ABI LLC | 313 Congress St, Boston, Massachusetts 02210 |
| System for Award Management (SAM) Entities | MENTOR ABI, LLC | 313 Congress St, Boston, MA 02210-1218 |
| Iowa Business Entities | MENTOR ABI, LLC | 313 Congress Street 5th Floor, Boston, MA 02210 |
| Oklahoma Business Registrations | MENTOR ABI, LLC | 313 Congress St 5th Fl, C/o The Mentor Network, Boston, MA 02210 |
| Indiana Business Entities | MENTOR ABI, LLC | 313 Congress St, 5th Fl, Boston, MA 02210 |
| Street Address |
6 KING RD |
| City | CHICHESTER |
| State | NH |
| Zip Code | 03258-6533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376630582 | Town of Chichester | Ambulance | 22 Main Street, Chichester, NH 03258 | 2006-10-07 |
| 1619299419 | Lisa Marie Savage | Nurse Practitioner | 68 Bailey Rd, Chichester, NH 03258-6027 | 2010-02-20 |
| 1003141888 | Martha Testerman | Doula | 31 Durgin Rd, Chichester, NH 03258-6300 | 2009-10-12 |
| 1134513427 | Nancy Amour | Dental Hygienist | 33 Swiggey Brook Rd, Chichester, NH 03258-6420 | 2015-03-24 |
| 1265741078 | Kayla Lyn Page | Social Worker | 160 Dover Rd, Suite 5, Chichester, NH 03258-6537 | 2010-09-28 |
| 1972601334 | Raymond R Farland Dds Pa | Dentist | 160-2 Dover Road, Chichester, NH 03258-6537 | 2006-09-20 |
| 1457636425 | Dianne Decoste | Social Worker | 160 Dover Rd, Suite #5, Chichester, NH 03258-6537 | 2011-10-20 |
| 1760580120 | Raymond Richard Farland | Dentist | 160-2 Dover Road, Chichester, NH 03258-6537 | 2006-09-20 |
| 1689857807 | Samuel Seth Woodward | Nurse's Aide | 53 Harvest Rd, Chichester, NH 03258-6545 | 2007-12-11 |
| 1316576432 | Suzanne Lynette Guzman | Home Health Aide | 53 Harvest Rd, Chichester, NH 03258-6545 | 2020-04-02 |
| Find all providers in zip 03258 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942606603 | Lakeview Wentworth House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 70 Moultonville Rd, Center Ossipee, NH 03814-6832 | 2014-11-07 |
| 1568512770 | Region Viii, One Sky Community Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 755 Banfield Rd Ste 3, Portsmouth, NH 03801-5647 | 2007-01-11 |
| 1205997830 | Lakeview Neurorehabilitation Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 244 Highwatch Road, Effingham, NH 03882-8336 | 2006-12-13 |
| 1043334626 | State of New Hampshire | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 99 Pleasant St, Howard Recreation Center, Concord, NH 03301-3852 | 2007-03-19 |
| 1164554531 | Lakeview Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 244 High Watch Rd, Effingham, NH 03882-8336 | 2007-03-12 |
| City | CHICHESTER |
| Zip Code | 03258 |
Please comment or provide details below to improve the information on MENTOR ABI.
| 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.