MENTOR ABI, LLC (NPI# 1801274824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801274824 |
Entity Type | Organization |
Organization Name | MENTOR ABI, LLC |
Other Organization Name | NEURORESTORATIVE IOWA |
Practice Address |
2803 262nd St De Witt IA 52742-9429 |
Mailing Address |
Po Box 2825 Carbondale IL 62902-2825 |
Practice Telephone | 6182036797 |
Enumeration Date | 2015-05-11 |
Last Update Date | 2019-04-01 |
Authorized Official Name | SERGIO P CRUZ (FINANCE DIRECTOR) |
Authorized Official Telephone | 6177904972 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283X00000X | Rehabilitation Hospital | Hospitals |
Other Name | Type Code |
---|---|
NeuroRestorative Iowa | Doing Business As Name - Organization |
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 |
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 |
Indiana Business Entities | MENTOR ABI, LLC | 313 Congress St, 5th Fl, Boston, MA 02210 |
Street Address |
2803 262ND ST |
City | DE WITT |
State | IA |
Zip Code | 52742-9429 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336602317 | Mentor Abi,llc D/b/a Neurorestorative Iowa | Rehabilitation Hospital | 2803 262nd St, De Witt, IA 52742-9429 | 2019-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801400106 | Samantha Wagler | Dentist | 923 6th Avenue, Dewitt, IA 52742 | 2020-09-03 |
1760808810 | Tracy Lynn Weller | Physical Therapy Assistant | 1331 5th Ave., Dewitt, IA 52742 | 2014-03-13 |
1255599981 | Patricia Ann Sheil | Chiropractor | 604 10th Street, Dewitt, IA 52742 | 2008-05-29 |
1205847340 | Dewitt Pharmacy Inc | Pharmacy | 609 7th Ave, Dewitt, IA 52742 | 2006-08-11 |
1083105639 | Cram Chiropractic, Pllc | Chiropractor | 602 12th Street, De Witt, IA 52742 | 2018-05-18 |
1780904854 | Life Rx Inc | Pharmacy | 609 7th Ave, Dewitt, IA 52742 | 2010-06-10 |
1528281094 | Jennifer Joan Walker | Pharmacist | 629 6th Ave, Scott Thrifty White Drug, Dewitt, IA 52742 | 2007-04-11 |
1932263639 | James Harland Demong | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-20 |
1114080603 | Patti Sue Rose Trenkamp | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-18 |
1629131156 | Dennis C Bousselot | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-18 |
Find all providers in zip 52742 |
Taxonomy Code | 283X00000X |
Grouping | Hospitals |
Classification | Rehabilitation Hospital |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336602317 | Mentor Abi,llc D/b/a Neurorestorative Iowa | Rehabilitation Hospital | 2803 262nd St, De Witt, IA 52742-9429 | 2019-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114550886 | Encompass Health Rehabilitation Hospital of Iowa City, LLC | Rehabilitation Hospital | 2450 Coral Court, Coralville, IA 52241 | 2020-02-20 |
1215575394 | Eastern Iowa Rehabilitation Hospital, LLC | Rehabilitation Hospital | 2801 Heartland Drive, Coralville, IA 52241 | 2019-12-19 |
1780242925 | Mentor Abi,llc D/b/a Neurorestorative Iowa | Rehabilitation Hospital | 2340 C St Sw, Cedar Rapids, IA 52404-3753 | 2019-06-03 |
1023520368 | Mercy Rehabilitation Hospital, LLC | Rehabilitation Hospital | 1401 Campus Drive, Clive, IA 50325-6500 | 2017-10-26 |
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 |
1780046235 | Kelsie Deering | Rehabilitation Hospital | 1417 Fan Rd, Waukon, IA 52172-7729 | 2016-03-23 |
1588042733 | Mentor Abi, LLC | Rehabilitation Hospital | 4102 Nw 2nd Ct, Ankeny, IA 50023-6803 | 2015-05-08 |
1609285790 | 21st Century Rehab, PC | Rehabilitation Hospital | 1231 S G Ave, Nevada, IA 50201-2717 | 2014-08-04 |
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.