Mentor Idaho, Llc

LBN: Mentor Idaho, Llc
Mentor Idaho, Llc is an health care organization with primary practice located at 12553 W Explorer Dr Ste 190 , Boise ID 83713-1612. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Mentor Idaho, Llc can be contacted via phone (951) 201-5914, or through Jacome, Robin E via phone (951) 201-5914.

Contact Information

Primary practice address
12553 W Explorer Dr Ste 190 Boise ID 83713-1612
Phone: (951) 201-5914
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jacome, Robin E
Phone: (951) 201-5914

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1144896515
LBN Legal business name Mentor Idaho, Llc
DBA Doing business as
Authorized official Jacome, Robin E
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2021
Last updated May 27th, 2021 - about 4 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.

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