# NATIONAL MENTOR HEALTHCARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Indiana Mentor Adult Foster Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124325790
- **Authorized official:** BRETT IAN COHEN (COO)
- **Authorized official phone:** (800) 388-5150

## Contact information

- **Practice address:** 9901 PENDLETON PIKE, LOT 32, INDIANAPOLIS, IN 46236-2886
- **Practice address phone:** (317) 581-2380
- **Mailing address:** 313 CONGRESS ST, BOSTON, MA 02210-1218
- **Mailing address phone:** (800) 388-5150
- **Mailing address fax:** (617) 790-4271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/17/2011
- **Last updated:** 03/04/2023