Organization
CAREMERIDIAN, LLC
Active
Parent organization
NATIONAL MENTOR HEALTHCARE, LLC
Other names
National Mentor Healthcare, LLC, 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
5301 E THOMAS RD, PHOENIX, AZ 85018-8011
(602) 687-1100
(602) 687-1112
Mailing address
18A JOURNEY, SUITE 200, ALISO VIEJO, CA 92656-5342
(949) 263-6630
(949) 261-0457
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NC12680
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NC12680
NC12680
AZ
Enumeration date
06/15/2009
Last updated
08/13/2019
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