NATIONAL MENTOR HEALTHCARE, LLC (NPI# 1669783981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669783981 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE, LLC |
| Other Organization Name | NORTH CAROLINA MENTOR |
| Practice Address |
3125 Poplarwood Ct Suite 300 Raleigh NC 27604-1084 |
| Practice Telephone | 9197908580 |
| Practice Fax Number | 9198663255 |
| Mailing Telephone | 9197908580 |
| Mailing Fax Number | 9198663255 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-12-23 |
| Authorized Official Name | CHARLES DAVIS (STATE DIRECTOR) |
| Authorized Official Telephone | 9197908580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8702104 | 05 |
| Other Name | Type Code |
|---|---|
| North Carolina 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 |
3125 POPLARWOOD CT SUITE 300 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-1084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073557773 | Jewell S Mabery | Nurse Practitioner | 3125 Poplarwood Ct, Aspen Bldg, Suite 100, Raleigh, NC 27604-1084 | 2006-06-15 |
| 1700494572 | Vanessa Del Carmen | Counselor | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2020-07-17 |
| 1740809342 | Brittani Smith | Social Worker | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2020-04-13 |
| 1114586914 | Leah C Filomena | Social Worker | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2019-06-06 |
| 1437611902 | Jillian Elizabeth Lehmann | Social Worker | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2019-04-03 |
| 1124582929 | Anna Holloman | Social Worker | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2019-01-25 |
| 1417411422 | Hayley York Teague | Counselor | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2019-01-23 |
| 1568931855 | Doreen Lynn Miller | Counselor | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2018-11-16 |
| 1225517550 | Halee Spence Smith | Social Worker | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2018-08-08 |
| 1538695424 | Serena Wilson | Social Worker | 3125 Poplarwood Ct, Suite 103, Raleigh, NC 27604-1084 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 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 |
| Find all providers in zip 27604 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548084 | Carolina Bridges Home Health | Case Management | 8410 Six Forks Rd Ste 104, Raleigh, NC 27615-3079 | 2020-11-07 |
| 1861008179 | Maggie Janes LLC | Case Management | 3004 Hillmer Dr, Raleigh, NC 27609-7810 | 2020-09-22 |
| 1790304335 | Joshua's House | Case Management | 1631 Midtown Pl Ste 134, Raleigh, NC 27609-1300 | 2020-04-14 |
| 1851944474 | Davis-powell & Associates, Pllc | Case Management | 3948 Browning Pl Ste 205, Raleigh, NC 27609-6512 | 2019-07-23 |
| 1154829869 | Advocates for Change LLC | Case Management | 3127 Manhasset Ln, Raleigh, NC 27604-3499 | 2018-01-28 |
| 1043723042 | Wade Healthcare Company, Inc. | Case Management | 2245 The Cir, Raleigh, NC 27608-1447 | 2017-11-13 |
| 1215473657 | Legacy Family Services | Case Management | 2205 Wide River Dr, Raleigh, NC 27614-7612 | 2017-01-09 |
| 1831649995 | Resources for Human Development | Case Management | 2412 Fitzgerald Dr, Raleigh, NC 27610-4738 | 2016-10-12 |
| 1821446147 | Care Paths LLC | Case Management | 4904 Waters Edge Dr Ste 154, Raleigh, NC 27606-2397 | 2016-05-26 |
| 1093176133 | Roten Signing Service | Case Management | 6501 Paces Arbor Cir, Unit 618, Raleigh, NC 27609-2808 | 2016-03-17 |
| Find all providers in RALEIGH | ||||
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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.