Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Parent organization
NATIONAL MENTOR HEALTHCARE LLC DBA RHODE ISLAND MENTOR
Other names
Rhode Island Mentor
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL MENTOR HEALTHCARE LLC DBA RHODE ISLAND MENTOR
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
25 THURBER BLVD, SMITHFIELD, RI 02917
(401) 231-0739
(401) 232-0651
Mailing address
625 W RIDGE PIKE, BLDG B SUITE 102, CONSHOHOCKEN, PA 19428
(610) 834-2971
(610) 825-2831
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
323
RI
251S00000X
Community/Behavioral Health Agency
Primary
45813
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC11015
PROVIDER NUMBER
RI
Enumeration date
03/19/2007
Last updated
03/04/2023
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