New Jersey Mentor Pride Rtc House
LBN: National Mentor Healthcare Llc
New Jersey Mentor Pride Rtc House is an health care organization with primary practice located at 80 Cottontail Ln Suite 330, Somerset NJ 08873-1100. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty.
National Mentor Healthcare Llc can be contacted via phone (732) 627-9890, or through Cohen, Brett Ian via phone (800) 388-5150.
Contact Information
Primary practice address
80 Cottontail Ln Suite 330
Somerset NJ 08873-1100
Phone: (732) 627-9890
Fax: (732) 563-6780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X |
Profile Details
| NPI number | 1548659873 |
|---|---|
| LBN Legal business name | National Mentor Healthcare Llc |
| DBA Doing business as | New Jersey Mentor Pride Rtc House |
| Authorized official | Cohen, Brett Ian |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2015 |
| Last updated | Mar 12th, 2023 - about last year |
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 | 1548659873 | NPPES |
| New Jersey | MEDICAID | 0485136 | |
| New Jersey | MEDICAID | 0472042 |
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