NPI Information

  • NPI: 1386879096
  • Provider Name: MENTOR ABI, LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: NEURORESTORATIVE NEW HAMPSHIRE
  • CLIA Number: 30D2239749
  • Address: 6 KING RD
    CHICHESTER, NH
    ZIP 03258
  • Phone: (603) 798-3376

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NPI Details

MENTOR ABI, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Chichester, NH. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MENTOR ABI, LLC NPI is 1386879096. The provider is registered as an organization entity type.
The provider Is Doing Business As Neurorestorative New Hampshire.

The provider's business location address is:

6 KING RD
CHICHESTER, NH
ZIP 03258-533
Phone: (603) 798-3376
Fax: (603) 798-3748

The provider's authorized official is Brett Ian Cohen .
The authorized official title is Coo and has the following contact phone number (800) 388-5150.

The CLIA number assigned to this NPI record is 30D2239749 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2009 and was last updated on 5/15/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1283X00000XRehabilitation HospitalNo
2311ZA0620XCustodial Care FacilityAdult Care HomeNo
3320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
4320900000XCommunity 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: 11/21/2025

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