# NATIONAL MENTOR HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1417267527
- **Authorized official:** DAN MOHNKE (STATE DIRECTOR)
- **Authorized official phone:** (317) 581-2380

## Contact information

- **Practice address:** 1057 E JOHNSON RD, SOUTH BEND, IN 46614-5493
- **Practice address phone:** (317) 581-2380
- **Mailing address:** 8925 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46260-2386
- **Mailing address phone:** (317) 581-2380
- **Mailing address fax:** (317) 581-2378

## Taxonomy

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

## Other

- **Enumeration date:** 10/08/2010
- **Last updated:** 10/08/2010