MENTOR ABI, LLC (NPI# 1639733058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639733058 |
| Entity Type | Organization |
| Organization Name | MENTOR ABI, LLC |
| Other Organization Name | NEURORESTORATIVE KANSAS |
| Practice Address |
4910 Corporate Centre Dr Ste 120 Lawrence KS 66047-1002 |
| Practice Telephone | 6185595304 |
| Mailing Telephone | 6185595304 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | SERGIO P CRUZ (CFO) |
| Authorized Official Telephone | 7817089444 |
| Is Organization Subpart | Y |
| Parent Organization Name | MENTOR ABI, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 283X00000X | Rehabilitation Hospital | Hospitals | ||
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Neurorestorative Kansas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1497160451 | Mentor Abi, LLC | Community/Behavioral Health | 3601 Windemere Pl, Raleigh, NC 27604-5961 | 2014-06-27 |
| 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 |
| Street Address |
4910 CORPORATE CENTRE DR STE 120 |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66047-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497239818 | Jd Sigler Publishing Company | Public Health or Welfare | 4951 West 18th Street, Lawrence, KS 66047 | 2018-09-21 |
| 1275063786 | Kathryn Elizabeth Hallacy | Physical Therapist | 3500 Clinton Place, Therapy Services, Lawrence, KS 66047 | 2017-06-16 |
| 1912302647 | Danielle Wilson | Counselor | 3205 Clinton Pkwy, Lawrence, KS 66047 | 2014-10-23 |
| 1063751592 | Meaghan Palmer | Respite Care | 4101 West 24th Place, #710, Lawrence, KS 66047 | 2013-02-04 |
| 1609098151 | Teakwood Psychological Resources, P.a. | Specialist | 2201 W 25th Street, Suite 0, Lawrence, KS 66047 | 2007-05-03 |
| 1205994910 | Farhang R. Khosh | Acupuncturist | 4935 Research Parkway, Lawrence, KS 66047 | 2006-12-05 |
| 1447347703 | Keith Allen White | Chiropractor | 2120 West 25th, Suite A, Lawrence, KS 66047 | 2006-10-06 |
| 1043310089 | Cynthia Louise Schnacke | Psychologist | Teakwood Psychological Resources, 2201 W. 25th Street, Suite O, Lawrence, KS 66047 | 2006-09-22 |
| 1134225329 | Mark Howarter | Chiropractor | 3320 Clinton Parkway Ct Ste 100, Lawrence, KS 66047 | 2006-09-15 |
| 1396708855 | Carla B Phipps | Family Medicine | 4951 W 18th St, Lawrence, KS 66047 | 2006-04-07 |
| Find all providers in zip 66047 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718863 | Right Care Services Inc | Home Health | 566 Andover St, Lawrence, MA 01843-2072 | 2020-07-27 |
| 1770117053 | Hcbs Pro LLC | Home Health | 285 Central Ave Apt E5, Lawrence, NY 11559-1641 | 2020-02-26 |
| 1427688258 | Pc Homecare LLC | Home Health | 599 Canal St Ste 6e4, Lawrence, MA 01840-1267 | 2020-01-21 |
| 1972143121 | Greatwaycare LLC | Home Health | 49 Blanchard St Ste 207-4, Lawrence, MA 01843-1454 | 2020-01-15 |
| 1689239956 | Apple Home Health Staffing Inc | Home Health | 1942 Massachusetts St, Lawrence, KS 66046-2942 | 2019-05-02 |
| 1184125056 | Donna M Harrold | Home Health | 16 Wedgewood Dr, Lawrence, MA 01843-3668 | 2018-02-26 |
| 1538676747 | A Quality Health Services LLC | Home Health | 15 Union St Ste 414, Lawrence, MA 01840-1823 | 2018-01-09 |
| 1174063341 | Eagle Afc LLC | Home Health | 130 Parker St Unit 1, Lawrence, MA 01843-1556 | 2017-03-07 |
| 1114464849 | Grace Home Health Care Agency, LLC | Home Health | 2127 E 26th St, Lawrence, KS 66046-5624 | 2017-01-19 |
| 1487021184 | Asante Home Care LLC | Home Health | 49 Blanchard St Ste 206-8, Lawrence, MA 01843-1454 | 2015-08-28 |
| Find all providers in LAWRENCE | ||||
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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.