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MENTOR ABI LLC NPI 1710099080


NPI Information

NPI: 1710099080
Provider Name: MENTOR ABI, LLC

Doing Business As: NEURORESTORATIVE LOUISIANA

Classification: Rehabilitation Hospital - 283X00000X
Entity Type: Organization

CLIA Number: 19D2244865

Address:
46406 W LEE HUGHES RD
HAMMOND, LA
ZIP 70401
Phone: (501) 707-3262
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MENTOR ABI, LLC is a rehabilitation hospital in Hammond, LA. 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 1710099080. The provider is registered as an organization entity type.
The provider Is Doing Business As Neurorestorative Louisiana.

The provider's business location address is:

46406 W LEE HUGHES RD
HAMMOND, LA
ZIP 70401-757
Phone: (501) 707-3262
Fax: (501) 753-8204

The provider's authorized official is Sergio P Cruz .
The authorized official title is Cfo and has the following contact phone number (781) 708-9444.

The CLIA number assigned to this NPI record is 19D2244865 - other - adult brain injury with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 2/3/2021.


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
1311Z00000XCustodial Care Facility004LOUISIANANo
2283X00000XRehabilitation Hospital004LOUISIANAYes

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: 5/5/2024

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