NPI 1417267527

National Mentor Healthcare, LLC

Organisation Adult Care Home Facility South Bend, IN

Practice location

Address: 1057 E Johnson Rd, South Bend, IN 46614-5493
Phone: (317) 581-2380
Mailing address: 8925 N Meridian St Suite 200, Indianapolis, IN 46260-2386

Authorised official

Name: Dan Mohnke
Title: State Director
Phone: (317) 581-2380

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1417267527
Entity type: Organization
NPI issued: 8 Oct 2010
Record last updated: 8 Oct 2010

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.