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Contact Information

NATIONAL MENTOR HEALTHCARE LLC
450 PARKWAY
SUITE 204
BROOMALL, PA19008-4202
 Phone: 610-353-5332
 Fax: 610-353-2814
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Local Education Agency (LEA)

251300000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for NATIONAL MENTOR HEALTHCARE LLC

NPI # 1972667004
LBN Legal business name NATIONAL MENTOR HEALTHCARE LLC
Authorized official MARY RODENBERG-ROBERTS - (VP & SR ASST GENERAL COUNSEL)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2006
Last updated 02/03/2026 - About 4 months ago
Identifiers
PA License # 0013499739-0010
PA License # 105910
PA License # 200940
PA License # 201020
PA License # 201400
PA License # 354900
PA License # 465190
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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