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NATIONAL MENTOR HEALTHCARE LLC NPI 1073993242


NPI Information

NPI: 1073993242
Provider Name: NATIONAL MENTOR HEALTHCARE, LLC

Doing Business As: NEW JERSEY MENTOR

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 31D2219296

Address:
1390 ROUTE 33
HAMILTON, NJ
ZIP 08690
Phone: (732) 627-9890
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NATIONAL MENTOR HEALTHCARE, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Hamilton, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. NATIONAL MENTOR HEALTHCARE, LLC NPI is 1073993242. The provider is registered as an organization entity type.
The provider Is Doing Business As New Jersey Mentor.

The provider's business location address is:

1390 ROUTE 33
HAMILTON, NJ
ZIP 08690-702
Phone: (732) 627-9890

The provider's authorized official is Daniel Quinn .
The authorized official title is Operations Administration Coord. and has the following contact phone number (732) 627-9890.

The CLIA number assigned to this NPI record is 31D2219296 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2015 and was last updated on 6/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.