# MENTOR ABI, 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
- **Parent organization:** MENTOR ABI, LLC
- **Other names:** Neurorestorative Kansas
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639733058
- **Legal business name:** MENTOR ABI, LLC
- **Authorized official:** SERGIO P CRUZ (CFO)
- **Authorized official phone:** (781) 708-9444

## Contact information

- **Practice address:** 4910 CORPORATE CENTRE DR STE 120, LAWRENCE, KS 66047-1002
- **Practice address phone:** (618) 559-5304
- **Mailing address:** 4910 CORPORATE CENTRE DR STE 120, LAWRENCE, KS 66047-1002
- **Mailing address phone:** (618) 559-5304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TR0400X | Rehabilitation Psychologist | — | NULL | — |
| 103TR0400X | Rehabilitation Psychologist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 283X00000X | Rehabilitation Hospital | — | NULL | — |

## Other

- **Enumeration date:** 05/01/2019
- **Last updated:** 04/28/2020