MEDICARE: MENTOR ABI, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283X00000X	Rehabilitation Hospital

General Provider Information

NPI Number	:	1215330444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTOR ABI, LLC

Provider Business Mailing Address
First Line	:	PO BOX 2825
Second Line	:
City	:	CARBONDALE
State	:	IL
Zip	:	62902-2825
Country	:	US
Telephone Number	:	618-529-3060
Fax Number	:	618-529-8119

Provider Business Practice Location Address
First Line	:	3201 DAVIS RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-9305
Country	:	US
Telephone Number	:	618-529-3060
Fax Number	:	618-529-8119

Authorized Official
Title or Position	:	VICE PRESIDENT OPERATIONS
Name	:	CHRISTOPHER WILLIAMSON
Credential	:
Telephone Number	:	618-529-3060

Provider Enumeration Date	:	10/02/2014
Last Update Date	:	10/02/2014

Similar Medicare Providers

1548118607 — DUNGARVIN INDIANA, LLC
Practice Location Address:

3201 DAVIS RD
INDIANAPOLIS, IN
46239-9305

Practice Phone: 651-699-0206
Practice Fax:

1073452157 — PATRICK STIMPSON LSW
Practice Location Address:

8150 BROOKVILLE RD
INDIANAPOLIS, IN
46239-8903

Practice Phone: 463-224-8653
Practice Fax:

1164229407 — AURA HOME CARE SERVICES LLC
Practice Location Address:

2450 BORAX CT
INDIANAPOLIS, IN
46239-8988

Practice Phone: 317-444-9312
Practice Fax:

1043168024 — TANYA L JONES
Practice Location Address:

7609 BLUE WILLOW DR
INDIANAPOLIS, IN
46239-8798

Practice Phone: 317-514-8215
Practice Fax:

1275199465 — MISS KIMBERLY KAYANA TURNER-FRAZIER
Practice Location Address:

4412 MENDOCINO BLVD
INDIANAPOLIS, IN
46239

Practice Phone: 919-943-7881
Practice Fax:

1528912359 — EVOLVE HEALTH CLINIC
Practice Location Address:

10721 CRELL CT
INDIANAPOLIS, IN
46239-9770

Practice Phone: 317-640-3308
Practice Fax:

Directions to “MENTOR ABI, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.