Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Other names
NH Mentor
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
350 HARVEY RD, UNIT A-03-L, MANCHESTER, NH 03103-3373
(603) 622-3421
(603) 623-0972
Mailing address
280 BRIDGE ST, SUITE 230, DEDHAM, MA 02026-1759
(781) 326-4207
(781) 326-4654
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
68561
NH
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30855006
—
NH
01
—
820000748
TRADING PARTNERS ID
NH
Enumeration date
01/17/2008
Last updated
03/19/2023
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