MENTOR ABI, LLC


Address: 3601 Windemere Pl, Raleigh, NC 27604-5961
Phone: 2024256757

MENTOR ABI, LLC (NPI# 1497160451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497160451
Entity Type Organization
Organization Name MENTOR ABI, LLC
Other Organization Name NEURORESTORATIVE NORTH CAROLINA
Practice Address 3601 Windemere Pl
Raleigh
NC 27604-5961
Mailing Address 10150 Highland Manor Dr
Suite 140
Tampa
FL 33610-9713
Practice Telephone 2024256757
Mailing Telephone 8136261444
Enumeration Date 2014-06-27
Last Update Date 2019-10-03
Authorized Official Name MR. DAN DUELL (BUSINESS DIRECTOR)
Authorized Official Telephone 8136261444
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
Y 283X00000X Rehabilitation Hospital Hospitals

Other Provider/Organization Names

Other Name Type Code
NeuroRestorative North Carolina Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1639733058 Mentor Abi, LLC Psychologist 4910 Corporate Centre Dr Ste 120, Lawrence, KS 66047-1002 2019-05-01
1679082234 Mentor Abi, LLC Rehabilitation Hospital 115 Evans Ct, Mount Laurel, NJ 08054-4202 2017-09-27
1396254959 Mentor Abi, LLC Rehabilitation Hospital 1203 Crofton Ct, Mount Laurel, NJ 08054-4221 2017-09-27
1386153922 Mentor Abi, LLC Rehabilitation Hospital 8008 Route 130 Ste 400, Delran, NJ 08075-1869 2017-09-27
1386170504 Mentor Abi, LLC Rehabilitation Hospital 2021 Cavalier Way, Sioux City, IA 51109-1176 2017-05-08
1619410701 Mentor Abi, LLC Rehabilitation Hospital 1126 Florence Ave, Sioux City, IA 51109-1017 2016-11-22
1609224203 Mentor Abi, LLC Rehabilitation Hospital 6006 Beverly Rd Sw, Cedar Rapids, IA 52404-7114 2016-05-25
1801274824 Mentor Abi, LLC Rehabilitation Hospital 2803 262nd St, De Witt, IA 52742-9429 2015-05-11
1588042733 Mentor Abi, LLC Rehabilitation Hospital 4102 Nw 2nd Ct, Ankeny, IA 50023-6803 2015-05-08
1215330444 Mentor Abi, LLC Rehabilitation Hospital 3201 Davis Rd, Indianapolis, IN 46239-9305 2014-10-02

Other Data Sources

Entity Type Entity Name Entity Address
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

Office Location

Street Address 3601 WINDEMERE PL
City RALEIGH
State NC
Zip Code 27604-5961

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1851890750 Sasilana Letreva Burden In Home Supportive Care 4000 Northstone Drive Apt 307, Raleigh, NC 27604 2018-02-06
1093226383 The Eye Institute Od, Pa Optometrist 111 Seaboard Ave Ste 110, Raleigh, NC 27604 2017-10-13
1902326044 Ngozi Ifeoma Osiebo Nurse Practitioner 4608 Wedgewood Drive, Raleigh, NC 27604 2017-06-20
1144765520 Rose Hill Family Care Home Custodial Care Facility 1705 Beacon Bluff Street, Raleigh, NC 27604 2016-12-21
1437609948 Mercy Manor At Saybrooke, Inc Custodial Care Facility 6320 Saybrooke Drive, Raleigh, NC 27604 2016-10-07
1972969913 Shivas Gilotra Nurse Practitioner 805 Oberlin Road, Ste 200, Raleigh, NC 27604 2016-01-06
1609247915 Charisse Justine Young Social Worker 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 2015-10-13
1356748933 John T Hart Counselor 1115-113 Cove Bridge Road, Raleigh, NC 27604 2014-11-26
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Taxonomy Information

Taxonomy Code 283X00000X
Grouping Hospitals
Classification Rehabilitation Hospital

Taxonomy Definition

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447745047 Novant Health Rehabilitation Hospital of Winston-salem, LLC Rehabilitation Hospital 2475 Hillcrest Center Circle, Winston Salem, NC 27103 2018-06-26
1578512158 Atlas Medical Supply and Equipment Rehabilitation Hospital 2315 Central Ave, Charlotte, NC 28205-5207 2006-05-09
1730555202 Salem Physical Therapy and Sports Rehab Rehabilitation Hospital 3098 Healy Dr, Winston Salem, NC 27103-1432 2015-08-19
1407235096 Douglas Edward Lopeman Rehabilitation Hospital 200 Robinhood Medical Plz, Winston Salem, NC 27106-5471 2015-05-28
1932382280 Carepartners Rehabilitation Hospital Rehabilitation Hospital 68 Sweeten Creek Rd, Asheville, NC 28803-2318 2007-12-10
1023177631 Henderson/vance Healthcare, Inc. Rehabilitation Hospital 566 Ruin Creek Rd, Henderson, NC 27536-2927 2006-12-08
1003985375 New Hanover Regional Medical Center Rehabilitation Hospital 2131 S 17th St, Wilmington, NC 28401-7407 2006-11-08
1275624835 Debra Brown Rehabilitation Hospital 68 Hospital Rd, Sylva, NC 28779-2722 2006-09-27
1063519924 Michelle Sciferes Rehabilitation Hospital 68 Hospital Rd, Sylva, NC 28779-2722 2006-09-20
1770680639 Gale T Smith Rehabilitation Hospital 68 Hospital Rd, Sylva, NC 28779-2722 2006-09-20
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Competitor

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City RALEIGH
Zip Code 27604

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Dataset Information

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.

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