# NATIONAL MENTOR HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NJ Mentor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215196399
- **Authorized official:** BRETT IAN COHEN (COO)
- **Authorized official phone:** (800) 388-5150

## Contact information

- **Practice address:** 80 COTTONTAIL LN, SUITE 330, SOMERSET, NJ 08873-1100
- **Practice address phone:** (732) 627-9890
- **Practice address fax:** (732) 563-6780
- **Mailing address:** 80 COTTONTAIL LN, SUITE 330, SOMERSET, NJ 08873-1100
- **Mailing address phone:** (732) 627-9890
- **Mailing address fax:** (732) 563-6780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2008
- **Last updated:** 03/05/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0142051 | — | NJ |