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NATIONAL MENTOR HEALTHCARE LLC NPI 1396823340


NPI Information

NPI: 1396823340
Provider Name: NATIONAL MENTOR HEALTHCARE, LLC

Doing Business As: GEORGIA MENTOR

Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
18 EXECUTIVE PARK DR NE
SUITE 1823
ATLANTA, GA
ZIP 30329
Phone: (404) 728-1567
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NATIONAL MENTOR HEALTHCARE, LLC is a social worker in Atlanta, GA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. NATIONAL MENTOR HEALTHCARE, LLC NPI is 1396823340. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Georgia Mentor.

The provider's business location address is:

18 EXECUTIVE PARK DR NE
SUITE 1823
ATLANTA, GA
ZIP 30329-206
Phone: (404) 728-1567
Fax: (404) 982-9877

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 enumeration date for this NPI number is 11/1/2006 and was last updated on 3/12/2023.


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
1104100000XSocial WorkerYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000498847NMEDICAIDGEORGIA
2000498847XMEDICAIDGEORGIA
3000498847UMEDICAIDGEORGIA
4000498847YMEDICAIDGEORGIA
5000498847AMEDICAIDGEORGIA
6000498847QMEDICAIDGEORGIA
7000498847AAMEDICAIDGEORGIA
8000498847KMEDICAIDGEORGIA
9000498847ABMEDICAIDGEORGIA
10000498847IMEDICAIDGEORGIA
11000498847ZMEDICAIDGEORGIA

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

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.