Mentor Idaho, Llc

LBN: Mentor Idaho, Llc
Mentor Idaho, Llc is an health care organization with primary practice located at 1001 W Broadway Ave Apt A104 , Meridian ID 83642-3730. 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 via phone (951) 201-5914.

Contact Information

Primary practice address
1001 W Broadway Ave Apt A104 Meridian ID 83642-3730
Phone: (951) 201-5914
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jacome, Robin
Phone: (951) 201-5914

Health care specialties

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

Profile Details

NPI number 1679148175
LBN Legal business name Mentor Idaho, Llc
DBA Doing business as
Authorized official Jacome, Robin
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2021
Last updated May 26th, 2021 - about 3 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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