MENTIS NEURO EL PASO LLC NPI 1013112549

NPI Information

  • NPI: 1013112549
  • Provider Name: MENTIS NEURO EL PASO, LLC
  • Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
  • Entity Type: Organization
  • Doing Business As: MENTIS NEURO HEALTH
  • CLIA Number: 45D2235003
  • Address: 4360 DONIPHAN DRIVE
    EL PASO, TX
    ZIP 79922
  • Phone: (915) 351-4441

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NPI Details

MENTIS NEURO EL PASO, LLC is a residential treatment facility physical disabilities in El Paso, TX. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. MENTIS NEURO EL PASO, LLC NPI is 1013112549. The provider is registered as an organization entity type.
The provider Is Doing Business As Mentis Neuro Health.

The provider's business location address is:

4360 DONIPHAN DRIVE
EL PASO, TX
ZIP 79922
Phone: (915) 351-4441

The provider's authorized official is Mark L. Quigley .
The authorized official title is Chief Operating Officer and has the following contact phone number (713) 864-8996.

The CLIA number assigned to this NPI record is 45D2235003 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2007 and was last updated on 9/8/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320700000XResidential Treatment Facility, Physical DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HH005BOTHERTEXASBLUE CROSS

What is NPI?

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This page was last updated on: 11/21/2025

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