NATIONAL MENTOR HEALTHCARE, LLC (NPI# 1689816670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689816670 |
| 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 | 2009-04-06 |
| Last Update Date | 2009-11-17 |
| 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 |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 253J00000X | Foster Care Agency | Agencies |
| 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 | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407278013 | Touchstone Residential Services | Foster Care Agency | 11030 Raven Ridge Rd Ste 17, Raleigh, NC 27614-8512 | 2014-01-16 |
| 1558678482 | Center for Development and Improvement Inc. | Foster Care Agency | 3712 Pinkham Way, Raleigh, NC 27616-8324 | 2010-09-14 |
| 1255739546 | The Bair Foundation | Foster Care Agency | 3717 National Dr, Suite 115, Raleigh, NC 27612-4067 | 2014-12-18 |
| 1154463446 | Youth Development Corporation of America | Foster Care Agency | 6050 Six Forks Rd, Raleigh, NC 27609-8601 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629698303 | Family Safety Program | Foster Care Agency | 117 John Crowe Hill Rd, Cherokee, NC 28719 | 2020-04-22 |
| 1205488517 | Another Choice for Black Children, Inc. | Foster Care Agency | 3028 Beatties Ford Rd, Charlotte, NC 28216-4267 | 2019-07-16 |
| 1639640618 | Agape Child Placement Agency Inc. | Foster Care Agency | 717 E Park Dr, Monroe, NC 28112-5045 | 2018-12-17 |
| 1023401494 | Aci Support Specialists | Foster Care Agency | 115 Eastbrook Dr, Greenville, NC 27858-4216 | 2015-03-10 |
| 1619374311 | Aci Support Specialists, Inc. | Foster Care Agency | 2040 Wilmington Hwy, Suite A, Jacksonville, NC 28540-3121 | 2014-11-24 |
| 1174920870 | Aci Support Specialists, Inc. | Foster Care Agency | 1723 S Glenburnie Rd, New Bern, NC 28562-5208 | 2014-11-24 |
| 1962807842 | Agape of Nc, Inc. (asso. for Guidance, Aid, Placement & Empathy of Nc. | Foster Care Agency | 2012 South Main 500d, Wake Forest, NC 27587-5008 | 2014-11-04 |
| 1942605332 | The Bair Foundation-iaft-108 Executive Park | Foster Care Agency | 108 Executive Park, Asheville, NC 28801-2426 | 2014-10-28 |
| 1730501362 | Touchstone Residential Services | Foster Care Agency | 2807 Neuse Blvd Ste 1, New Bern, NC 28562-2816 | 2014-01-16 |
| 1871839332 | Barbaraking Homecare Agency | Foster Care Agency | 204 Sunny Ave, Dunn, NC 28334-4630 | 2013-01-02 |
| Find all providers with the same taxonomy | ||||
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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.