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
1136 PUENTE AVE, SAN DIMAS, CA 91773-4414
(909) 305-1993
(909) 305-1996
Mailing address
163 TECHNOLOGY DR STE 200, IRVINE, CA 92618-2486
(949) 263-6630
(949) 266-8979
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550004409
CONGREGATE LIVING HEALTH FACILITY
CA
Enumeration date
11/30/2018
Last updated
08/17/2019
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