NPI Information

  • NPI: 1639476617
  • Provider Name: MENTOR ABI
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: NEURORESTORATIVE RHODE ISLAND
  • Address: 4219 S COUNTY TRL
    CHARLESTOWN, RI
    ZIP 02813
  • Phone: (401) 364-8717

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NPI Details

MENTOR ABI is a community based residential treatment facility, intellectual and/or developmental disabilities in Charlestown, RI. 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 NPI is 1639476617. The provider is registered as an organization entity type.
The provider Is Doing Business As Neurorestorative Rhode Island.

The provider's business location address is:

4219 S COUNTY TRL
CHARLESTOWN, RI
ZIP 02813-628
Phone: (401) 364-8717

The provider's authorized official is Scott Davis .
The authorized official title is Sr. Business Director and has the following contact phone number (618) 529-3060.

The enumeration date for this NPI number is 2/28/2011 and was last updated on 3/28/2014.

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
1251C00000XDay Training, Developmentally Disabled ServicesNo
2320900000XCommunity 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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