# CAREMERIDIAN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NATIONAL MENTOR HEALTHCARE LLC
- **Other names:** Neurorestorative
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518437698
- **Legal business name:** NATIONAL MENTOR HEALTHCARE LLC
- **Authorized official:** MR. SEAN SHEA (DIRECTOR OF FINANCE)
- **Authorized official phone:** (617) 688-5251

## Contact information

- **Practice address:** 1136 PUENTE AVE, SAN DIMAS, CA 91773-4414
- **Practice address phone:** (909) 305-1993
- **Practice address fax:** (909) 305-1996
- **Mailing address:** 163 TECHNOLOGY DR STE 200, IRVINE, CA 92618-2486
- **Mailing address phone:** (949) 263-6630
- **Mailing address fax:** (949) 266-8979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0600X | Adult Day Care Clinic/Center | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2018
- **Last updated:** 08/17/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 550004409 | CONGREGATE LIVING HEALTH FACILITY | CA |