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NPI Code Detail

MEDICARE: NATIONAL MENTOR HEALTHCARE, LLC

MEDICARE: NATIONAL MENTOR HEALTHCARE, 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
1251K00000XPublic Health or Welfare AgencyNC
2251S00000XCommunity/Behavioral Health Agency
3101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427193358
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONAL MENTOR HEALTHCARE, LLC
Provider Business Mailing Address
First Line : 313 CONGRESS ST
Second Line :
City : BOSTON
State : MA
Zip : 02210-1218
Country : US
Telephone Number : 800-388-5150
Fax Number : 617-790-4271
Provider Business Practice Location Address
First Line : 8604 CLIFF CAMERON DRIVE
Second Line : SUITE 170
City : CHARLOTTE
State : NC
Zip : 28269-8508
Country : US
Telephone Number : 704-594-9837
Fax Number : 704-594-9575
Authorized Official
Title or Position : COO
Name : BRETT IAN COHEN
Credential :
Telephone Number : 800-388-5150
Provider Enumeration Date : 02/20/2007
Last Update Date : 03/12/2023

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Directions to “NATIONAL MENTOR HEALTHCARE, LLC ” Practice Location

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