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MENTOR ABI LLC NPI 1841414232


NPI Information

NPI: 1841414232
Provider Name: MENTOR ABI, LLC

Doing Business As: TIMBER RIDGE RANCH NEURORESTORATIVE CENTER

Classification: Rehabilitation Hospital - 283XC2000X
Entity Type: Organization

Specialization: Children

Address:
15000 HIGHWAY 298
BENTON, AR
ZIP 72019
Phone: (501) 758-8799
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MENTOR ABI, LLC is a children rehabilitation hospital in Benton, AR. MENTOR ABI, LLC NPI is 1841414232. 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 4/13/2007 and was last updated on 2/22/2019.


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
1283XC2000XRehabilitation HospitalChildren10042ARKANSASYes

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
1126843126MEDICAIDARKANSAS
2181317526MEDICAIDARKANSAS

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

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