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General NPI Number Information
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NPI Number | 1588937486
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Entity Type | Organization
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Legal Business Name | NATIONAL MENTOR HEALTHCARE, LLC
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Dates
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Enumeration Date | 02/23/2012
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 28417 DUPONT HIGHWAY
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City | MILLSBORO
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State | DE
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Zip | 19966-1209
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Country | US
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Telephone | 732-627-9890
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Fax | 732-563-6780
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Provider Business Mailing Address
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Address Line | 230 MITCHELL ST STE A
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City | MILLSBORO
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State | DE
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Zip | 19966-9402
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Country | US
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Telephone | 302-934-0512
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Fax | 302-934-0514
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Authorized Official
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Title or Position | CEO
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Name | PHIL KAUFMAN
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Credential |
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Telephone | 800-388-5150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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