Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Other names
Delaware Mentor
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL KAUFMAN (CEO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
28417 DUPONT HIGHWAY, MILLSBORO, DE 19966-1209
(732) 627-9890
(732) 563-6780
Mailing address
230 MITCHELL ST STE A, MILLSBORO, DE 19966-9402
(302) 934-0512
(302) 934-0514
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
103TR0400X
Rehabilitation Psychologist
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000123
—
DE
05
—
221000123
—
DE
05
—
250596940
—
DE
Enumeration date
02/23/2012
Last updated
08/26/2025
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