National Mentor Healthcare, LLC
Custodial Care Facility, Adult Care Home in Rochester, IN. Organization (NPI-2).
NPI number1144530254
StatusActive
Last updated in NPPESMar 4, 2023
Details
- NPI
- 1144530254
- Entity type
- Organization (NPI-2)
- Legal business name
- National Mentor Healthcare, LLC
- Organization subpart
- No
- Enumeration date
- Oct 8, 2010
- Certification date
- Mar 4, 2023
- Last updated
- Mar 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Other names
- Indiana Mentor Adult Foster Care (Doing Business As)
Practice location
151 W 550 NRochester, IN 46975-9129
Phone 317-581-2380
Mailing address
313 Congress StBoston, MA 02210-1218
Phone 800-388-5150 · Fax 617-790-4271
Authorized official
Brett Ian Cohen
Coo
8003885150
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