NATIONAL MENTOR HEALTHCARE, LLC (NPI# 1487779823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487779823 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE, LLC |
| Other Organization Name | NEW JERSEY MENTOR |
| Practice Address |
80 Cottontail Ln Suite 330 Somerset NJ 08873-1100 |
| Practice Telephone | 7326279890 |
| Practice Fax Number | 7325636780 |
| Mailing Telephone | 7326279890 |
| Mailing Fax Number | 7325636780 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2011-08-01 |
| Authorized Official Name | MS. LAUREN E SIGUR (BUSINESS MANAGER) |
| Authorized Official Telephone | 7326279890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | NJ | Agencies | |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0252531 | 05 | |
| NJ | 8884803 | 05 |
| Other Name | Type Code |
|---|---|
| New Jersey 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 |
80 COTTONTAIL LN SUITE 330 |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1477831840 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2011-08-02 |
| 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 |
| 1326208729 | Nj Mentor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2008-06-10 |
| 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 |
| 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.