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MENTOR ABI LLC NPI 1831474147


NPI Information

NPI: 1831474147
Provider Name: MENTOR ABI, LLC

Doing Business As: NEURORESTORATIVE GEORGIA

Classification: Rehabilitation Hospital - 283X00000X
Entity Type: Organization

CLIA Number: 11D0954478

Address:
3648 WALTON WAY EXT
AUGUSTA, GA
ZIP 30909
Phone: (800) 388-5150
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MENTOR ABI, LLC is a rehabilitation hospital in Augusta, GA. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. MENTOR ABI, LLC NPI is 1831474147. The provider is registered as an organization entity type.
The provider Is Doing Business As Neurorestorative Georgia.

The provider's business location address is:

3648 WALTON WAY EXT
AUGUSTA, GA
ZIP 30909-660
Phone: (800) 388-5150
Fax: (617) 790-4271

The provider's authorized official is Mary Patricia Rodenberg-roberts .
The authorized official title is Vice President & Sr. Asst Gc and has the following contact phone number (952) 836-2234.

The CLIA number assigned to this NPI record is 11D0954478 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2011 and was last updated on 8/2/2023.


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
1283X00000XRehabilitation HospitalYes

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: 4/28/2024

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