Organization
CAREMERIDIAN, LLC
Active
Parent organization
NATIONAL MENTOR HEALTHCARE, LLC
Other names
Neurorestorative, Mentor ABI-Ludlow
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
6512 E LUDLOW DR, SCOTTSDALE, AZ 85254-3311
(480) 699-3731
(480) 699-6796
Mailing address
18A JOURNEY, SUITE 200, ALISO VIEJO, CA 92656-5342
(949) 263-6632
(949) 261-0457
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL8149H
AZ DHS
AZ
Enumeration date
01/13/2011
Last updated
08/13/2019
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