MENTOR A.B.I (NPI# 1831474147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831474147 |
Entity Type | Organization |
Organization Name | MENTOR A.B.I |
Other Organization Name | NEURORESTORATIVE GEORGIA |
Practice Address |
1355 Independence Dr Augusta GA 30901-1037 |
Mailing Address |
10150 Highland Manor Dr Tampa FL 33610-9713 |
Practice Telephone | 8136261444 |
Practice Fax Number | 8136210770 |
Mailing Telephone | 8136261444 |
Mailing Fax Number | 8136210771 |
Enumeration Date | 2011-10-18 |
Last Update Date | 2012-01-03 |
Authorized Official Name | MS. HOLLY CONWAY (ACCOUNTS RECEIVABLE ANALYST) |
Authorized Official Telephone | 8136261444 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283X00000X | Rehabilitation Hospital | Hospitals |
Other Name | Type Code |
---|---|
NeuroRestorative Georgia | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Mentor ABI LLC | 313 Congress St, Boston, Massachusetts 02210 |
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 |
1355 INDEPENDENCE DR |
City | AUGUSTA |
State | GA |
Zip Code | 30901-1037 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699860817 | Walton Rehabiltation Hospital | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2006-10-04 |
1215388327 | Greenwood Medical Rehabilitation | Physical Medicine & Rehabilitation | 1355 Independence Dr, Augusta, GA 30901-1037 | 2016-06-29 |
1114393956 | Jennifer Rose Anderson | Registered Nurse | 1355 Independence Dr, Augusta, GA 30901-1037 | 2015-08-17 |
1659616811 | Encompass Health Walton Rehabilitation Hospital, LLC | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2012-11-29 |
1215201355 | Augusta Interventional Pain and Rehabilitation | Physical Medicine & Rehabilitation | 1355 Independence Dr, Augusta, GA 30901-1037 | 2012-03-07 |
1457632150 | Stephanie Anne Northington | Psychologist | 1355 Independence Dr, Behavioral Medicine Department, Augusta, GA 30901-1037 | 2011-09-08 |
1245526474 | American Rehabilitation Associates | Physical Medicine & Rehabilitation | 1355 Independence Dr, Augusta, GA 30901-1037 | 2011-06-27 |
1992025258 | Christopher Bell | Psychologist | 1355 Independence Dr, Augusta, GA 30901-1037 | 2010-06-09 |
1154554764 | William Schiff | Psychologist | 1355 Independence Dr, Augusta, GA 30901-1037 | 2009-08-30 |
1295904050 | Joseph Charles Augustin | Physical Medicine & Rehabilitation | 1355 Independence Dr, Physician Suite, Augusta, GA 30901-1037 | 2008-02-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
Find all providers in zip 30901 |
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 |
---|---|---|---|---|
1093878803 | William John Ellis | Rehabilitation Hospital | 3624 J Dewey Gray Cir Ste 302, Doctors Hospital Sports Medicine, Augusta, GA 30909-6580 | 2006-12-19 |
1699860817 | Walton Rehabiltation Hospital | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2006-10-04 |
1639505803 | Department of Veteran Affairs | Rehabilitation Hospital | 1 Freedom Way, Augusta, GA 30904-6258 | 2013-09-19 |
1659616811 | Encompass Health Walton Rehabilitation Hospital, LLC | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2012-11-29 |
1184818502 | Walton Innovations Inc. | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2007-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477880854 | Beth Powell | Rehabilitation Hospital | 4631 Windcroft Cir, Hoschton, GA 30548-3484 | 2009-11-05 |
1902872310 | Theraneeds, Inc | Rehabilitation Hospital | 5107 Panola Mill Dr, Lithonia, GA 30038-2352 | 2006-02-24 |
1346242682 | Ridgeview Institute,inc | Rehabilitation Hospital | 3995 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2005-06-01 |
1750384368 | Department of Human Services | Rehabilitation Hospital | 6135 Roosevelt Hwy, Warm Springs, GA 31830-1000 | 2005-05-27 |
1972909109 | Encompass Health Rehabilitation Hospital of Savannah, LLC | Rehabilitation Hospital | 6510 Seawright Dr, Savannah, GA 31406-2752 | 2014-11-17 |
1982019006 | Encompass Health Rehabilitation Hospital of Newnan, LLC | Rehabilitation Hospital | 2101 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2014-06-26 |
1760892657 | Roosevelt Warm Springs Rehabilitation & Specialty Hospitals, Inc. | Rehabilitation Hospital | 6135 Roosevelt Hwy, Warm Springs, GA 31830-2757 | 2014-05-01 |
1548698723 | Es Rehabilitation LLC | Rehabilitation Hospital | 1441 Clifton Rd Ne, Atlanta, GA 30322-1004 | 2013-10-24 |
1518243047 | Dbhdd | Rehabilitation Hospital | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2011-10-28 |
1417145251 | John Leonard Abney | Rehabilitation Hospital | 6391 Roosevelt Highway, Warm Springs, GA 31830-0268 | 2007-10-05 |
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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.