Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Other names
NJ Mentor
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
80 COTTONTAIL LN, STE 330, SOMERSET, NJ 08873-1100
(732) 627-9890
(732) 563-6780
Mailing address
80 COTTONTAIL LN, STE 330, SOMERSET, NJ 08873-1100
(732) 627-9890
(732) 563-6780
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0493163
—
NJ
Enumeration date
05/12/2015
Last updated
03/12/2023
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