MENTOR ABI LLC NPI 1245342591

NPI Information

NPI: 1245342591
Provider Name: MENTOR ABI, LLC

Doing Business As: TIMBER RIDGE RANCH NEURORESTORATIVE CENTER

Classification: Rehabilitation Hospital - 283X00000X
Entity Type: Organization
Address:
15000 HIGHWAY 298
BENTON, AR
ZIP 72019
Phone: (501) 758-8799
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MENTOR ABI, LLC is a rehabilitation hospital in Benton, AR. 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 1245342591. The provider is registered as an organization entity type.
The provider Is Doing Business As Timber Ridge Ranch Neurorestorative Center.

The provider's business location address is:

15000 HIGHWAY 298
BENTON, AR
ZIP 72019-282
Phone: (501) 758-8799
Fax: (501) 753-8204

The provider's authorized official is Cindy Beaty .
The authorized official title is Director Of Reimbursement and has the following contact phone number (501) 758-8799.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 2/2/2024.

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
1	283XC2000X	Rehabilitation Hospital	Children	10042	ARKANSAS	No
2	283X00000X	Rehabilitation Hospital		001	ARKANSAS	Yes

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
1	181317526	MEDICAID	ARKANSAS
2	126843126	MEDICAID	ARKANSAS
3	1Z001	OTHER	ARKANSAS	BC/BS OF AR
4	181901125	MEDICAID	ARKANSAS
5	131121125	MEDICAID	ARKANSAS

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

NPI Synchronization or Removal

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