Organization
CAREMERIDIAN, LLC
Active
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
MR. SEAN SHEA (DIRECTOR OF FINANCE)
(617) 688-5251
Entity
Organization
Contact information
Practice address
1255 W CHULA VISTA RD, TUCSON, AZ 85704-3036
(530) 219-0616
(520) 219-0190
Mailing address
163 TECHNOLOGY DR STE 200, IRVINE, CA 92618-2486
(949) 263-6630
(949) 266-8679
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10272H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL10272H
ALH
AZ
Enumeration date
04/21/2017
Last updated
08/18/2019
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