NPI 1285943993

National Mentor Healthcare, LLC

Organisation Adult Care Home Facility South Bend, IN

Practice location

Address: 4203 Fellows St, South Bend, IN 46614-2644
Phone: (317) 581-2380
Mailing address: 313 Congress St, Boston, MA 02210-1218

Authorised official

Name: Brett Ian Cohen
Title: Coo
Phone: (800) 388-5150

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1285943993
Entity type: Organization
NPI issued: 29 Sep 2010
Record last updated: 5 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.