NATIONAL MENTOR HEALTHCARE (NPI# 1639524606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639524606 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE |
| Other Organization Name | NJ MENTOR |
| Practice Address |
80 Cottontail Ln Ste 330 Somerset NJ 08873-1100 |
| Practice Telephone | 7326279890 |
| Practice Fax Number | 7325636780 |
| Mailing Telephone | 7326279890 |
| Mailing Fax Number | 7325636780 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | MRS. JO-ANN FIIGUEROA BURGOS (UTILIZATION COORDINATOR) |
| Authorized Official Telephone | 7326279896 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0472042 | 05 |
| Other Name | Type Code |
|---|---|
| NJ Mentor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245494178 | National Mentor Healthcare | Residential Treatment Facility, Physical Disabilities | 15032 N 37th Ave, Phoenix, AZ 85053 | 2008-07-10 |
| 1861607186 | National Mentor Healthcare | Case Management | 4150 Freidrich Ln Bldg N, Suite G, Austin, TX 78744-1800 | 2007-05-11 |
| 1114070752 | National Mentor Healthcare | Day Training, Developmentally Disabled Services | 2700 N 3rd St Ste 4000, Phoenix, AZ 85004-1173 | 2007-01-18 |
| 1639220619 | National Mentor Healthcare | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1285 Flamingo Dr, Lantana, FL 33462-1507 | 2007-01-16 |
| 1093088510 | National Mentor Healthcare | Case Management | 4150 Freidrich Ln Bldg N, Suite G, Austin, TX 78744-1800 | 2012-02-14 |
| 1851604599 | National Mentor Healthcare | Community/Behavioral Health | 7 Oak Branch Dr Ste C, Greensboro, NC 27407-2392 | 2010-07-23 |
| 1275844680 | National Mentor Healthcare | Community/Behavioral Health | 2055 Wood St, Suite 118, Sarasota, FL 34237-7903 | 2010-06-30 |
| 1083730477 | National Mentor Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2007-03-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | National Mentor HealthCare Inc. | 313 Congress Street, Boston, Massachusetts 02210 |
| North Carolina Corporations | National Mentor Healthcare Inc. | 2 South Salisbury Street, Raleigh, NC 27601 |
| Virginia Business Entities | National Mentor Healthcare LLC | The Mentor Network, 313 Congress St 5th Fl, Boston, Massachusetts 02210 |
| Indiana Business Entities | NATIONAL MENTOR HEALTHCARE, INC. | 313 Congress St, Boston, MA 02210 |
| Oklahoma Business Registrations | NATIONAL MENTOR HEALTHCARE, INC. | 313 Congress St, Boston, MA 02210 |
| 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 STE 330 |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487779823 | National Mentor Healthcare, LLC | Community/Behavioral Health | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2007-03-21 |
| 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 | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689030736 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2016-01-05 |
| 1548659873 | National Mentor Healthcare LLC | Residential Treatment Facility, Emotionally Disturbed Children | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2015-01-09 |
| 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 |
| 1730348897 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 | 2008-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427519727 | Willowglen Academy - New Jersey. Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 357 Route 94, Newton, NJ 07860-5136 | 2019-03-28 |
| 1649731290 | Willowglen Academy - New Jersey. Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 22 Route 519, Newton, NJ 07860-6230 | 2019-03-27 |
| 1639656705 | Devereux Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 124 Wertsville Rd, Hillsborough, NJ 08844-3908 | 2018-07-23 |
| 1164938049 | Saving Grace Ministries Inc | Residential Treatment Facility, Emotionally Disturbed Children | 436 Spruce St, Camden, NJ 08103-2032 | 2017-12-14 |
| 1790235539 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 8 Dugans Grv, Millstone Twp, NJ 08535-8014 | 2016-10-05 |
| 1619421104 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 201 Stillhouse Rd, Millstone Twp, NJ 08510-7967 | 2016-08-12 |
| 1396192886 | Ranch Hope Inc | Residential Treatment Facility, Emotionally Disturbed Children | 45 Sawmill Rd, Alloway, NJ 08001-1004 | 2016-05-16 |
| 1972972164 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 509 Mine Road, Bethlehem Township, NJ 08802 | 2015-09-18 |
| 1548641459 | Allies, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 46 Featherbed Ln, Flemington, NJ 08822-5638 | 2015-06-16 |
| 1760891055 | Therapeutic Alternatives | Residential Treatment Facility, Emotionally Disturbed Children | 20 Hadley Ln, Suite 100, Willingboro, NJ 08046-1701 | 2014-08-12 |
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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.