# 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:** 1821358342
- **Authorized official:** BRETT IAN COHEN (COO)
- **Authorized official phone:** (800) 388-5150

## Contact information

- **Practice address:** 1726 N 100 W, HARTFORD CITY, IN 47348-9550
- **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:** 05/17/2012
- **Last updated:** 03/19/2023