Indiana Mentor Adult Foster Care

LBN: National Mentor Healthcare, Llc
Indiana Mentor Adult Foster Care is an health care organization with primary practice located at 210 Fox Orchard Run , Fort Wayne IN 46825-6579. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. National Mentor Healthcare, Llc can be contacted via phone (317) 581-2380, or through Cohen, Brett Ian via phone (800) 388-5150.

Contact Information

Primary practice address
210 Fox Orchard Run Fort Wayne IN 46825-6579
Phone: (317) 581-2380
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cohen, Brett Ian
Phone: (800) 388-5150

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1720356082
LBN Legal business name National Mentor Healthcare, Llc
DBA Doing business as Indiana Mentor Adult Foster Care
Authorized official Cohen, Brett Ian
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2011
Last updated Mar 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720356082 NPPES
Indiana Other 200943350T PROVIDER NUMBER

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