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National Mentor Healthcare Llc

National Mentor Healthcare Llc is a health care provider in Indianapolis, IN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 5754 Twin River Ln, Indianapolis, IN 46239-5802, US
Practice Location Phone317-581-2380
Practice Location Fax
Legal Business NameNATIONAL MENTOR HEALTHCARE LLC
Other Organization NameINDIANA MENTOR ADULT FOSTER CARE
Other Organization Name TypeDoing Business As Name
NPI ?1396051009
Entity TypeOrganization
Enumeration Date ? Aug 19, 2010
Last Update Date ? Aug 19, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of National Mentor Healthcare Llc

SpecialtySpecializationLicenseLicense State
Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

legacy-id-icon Legacy Provider IDs of National Mentor Healthcare Llc

Provider IdIssuer StateIssuer TypeIssuer
200193830TIndianaOtherPROVIDER NUMBER

official-icon Authorized Official of National Mentor Healthcare Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the National Mentor Healthcare Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Daniel Mohnke
Authorized Official Title/PositionSTATE DIRECTOR
Authorized Official Phone Number317-581-2380