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
11500 CENTER AVE, GILROY, CA 95020-9223
(408) 686-0758
(408) 686-0618
Mailing address
163 TECHNOLOGY DR STE 200, IRVINE, CA 92618-2486
(949) 794-0787
(949) 266-8679
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
070000603
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070000603
STATE DHS LICENSE #
CA
05
—
HCB00004F
—
CA
Enumeration date
01/31/2007
Last updated
08/18/2019
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