NATIONAL MENTOR HEALTHCARE, LLC (NPI# 1447448709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447448709 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE, LLC |
| Other Organization Name | NC MENTOR |
| Practice Address |
542 Williamson Rd Suite 6 Mooresville NC 28117-8193 |
| Mailing Address |
3125 Poplarwood Ct Suite 300 Raleigh NC 27604-1084 |
| Practice Telephone | 9197908580 |
| Practice Fax Number | 9197908065 |
| Mailing Telephone | 9197908580 |
| Mailing Fax Number | 9197908065 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |
| Authorized Official Name | MR. CHARLES DAVIS (STATE DIRECTOR) |
| Authorized Official Telephone | 9197908580 |
| Is Organization Subpart | Y |
| Parent Organization Name | NATIONAL MENTOR HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8302036 | 05 |
| 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 |
542 WILLIAMSON RD SUITE 6 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-8193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558403915 | Landrum, Inc. | Home Health | 542 Williamson Rd, Suite 5, Mooresville, NC 28117-8193 | 2007-02-13 |
| 1033571120 | Catherine Diane Naylor | Counselor | 542 Williamson Rd, Suite 6, Mooresville, NC 28117-8193 | 2016-03-28 |
| 1619361458 | Stefani T Eddins | Social Worker | 542 Williamson Rd, Suite 6, Mooresville, NC 28117-8193 | 2015-03-18 |
| 1821496399 | Darryl Clarence Brown Jr. | Counselor | 542 Williamson Rd, Suite 6, Mooresville, NC 28117-8193 | 2014-12-15 |
| 1366845687 | Michelle Lubich | Social Worker | 542 Williamson Rd, Suite 6, Mooresville, NC 28117-8193 | 2014-10-01 |
| 1972917144 | Jason Alan Barnett | Social Worker | 542 Williamson Rd, Suite 6, Mooresville, NC 28117-8193 | 2014-06-16 |
| 1265867105 | Brittney Clark | Marriage & Family Therapist | 542 Williamson Rd, Suite 6, Mooresville, NC 28117-8193 | 2013-09-11 |
| 1639317357 | Erin Huneycutt | Social Worker | 542 Williamson Rd, Suite 6, Mooresville, NC 28117-8193 | 2009-02-03 |
| 1447465554 | Landrum, Inc. | Home Health | 542 Williamson Rd, Suite 5, Mooresville, NC 28117-8193 | 2007-05-11 |
| 1144352360 | National Mentor Healthcare, LLC | Counselor | 542 Williamson Rd, Suite 6, Mooresville, NC 28117-8193 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984476 | Beatties Ford Road Vocational Trade Center | Counselor | 237 Dry Dock Loop, Mooresville, NC 28117-8054 | 2020-05-27 |
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1770139842 | Diana Cristina Moscoso | Counselor | 166 Glenn Allen Rd, Mooresville, NC 28115-5808 | 2019-08-14 |
| 1184121592 | Therapy To Inner Peace - Center | Counselor | 2987 Charlotte Hwy, Mooresville, NC 28117-8052 | 2018-04-11 |
| 1972998938 | Ashley Bagwell | Counselor | 542 Williamson Rd Ste 6, Mooresville, NC 28117-9138 | 2015-04-06 |
| 1215337258 | April Rorabaugh | Counselor | 114 Morlake Dr, Mooresville, NC 28117-9208 | 2014-08-27 |
| 1578815296 | Taryn Sweeting | Counselor | 125 Overhill Dr Ste 105, Mooresville, NC 28117-8232 | 2012-10-04 |
| 1821355405 | Dishema S. Shuler | Counselor | 136 Mangum Cir, Mooresville, NC 28117-6916 | 2012-04-19 |
| 1033490404 | Pinnacle Performance Inc. | Counselor | 816 Brawley School Rd Ste F1, Mooresville, NC 28117-6202 | 2011-08-30 |
| 1215130760 | Rebecca H Rader | Counselor | 664 Brawley School Rd, Mooresville, NC 28117-9121 | 2007-06-11 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
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.