Organization
CAREMERIDIAN, LLC
Active
Parent organization
NATIONAL MENTOR HEALTHCARE, LLC
Other names
Neurorestorative
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL MENTOR HEALTHCARE, LLC
Authorized official
SEAN SHEA (DIRECTOR OF FINANCE)
(617) 688-5251
Entity
Organization
Contact information
Practice address
12461 SPRINGDALE ST, GARDEN GROVE, CA 92845-2240
(714) 933-7560
(714) 933-7565
Mailing address
163 TECHNOLOGY DR STE 200, IRVINE, CA 92618-2486
(949) 263-6632
(949) 261-0457
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
550001247
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550001247
STATE LICENSE
CA
Enumeration date
05/03/2010
Last updated
08/18/2019
About Stedi
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