Indiana Mentor
LBN: Indiana Mentor
Indiana Mentor is an health care organization with primary practice located at 9000 Keystone Xing Ste 200 , Indianapolis IN 46240-2148. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Indiana Mentor can be contacted via phone (317) 581-2380, or through Cohen, Brett Ian via phone (800) 388-5150.
Contact Information
Primary practice address
9000 Keystone Xing Ste 200
Indianapolis IN 46240-2148
Phone: (317) 581-2380
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 200193830 | Indiana |
Profile Details
| NPI number | 1407980170 |
|---|---|
| LBN Legal business name | Indiana Mentor |
| DBA Doing business as | |
| Authorized official | Cohen, Brett Ian |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Mar 12th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407980170 | NPPES |
| Indiana | Other | 200193830 | PROVIDER NUMBER |
| Indiana | Other | 300033125 | PROVIDER NUMBER |
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