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Contact Information

MENTOR ABI, LLC
4910 CORPORATE CENTRE DR STE 120
LAWRENCE, KS66047-1002
 Phone: 618-559-5304
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
 

Rehabilitation Hospital

283X00000X A0[7] Hospital-Rehabilitation (PPS excluded)
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MENTOR ABI, LLC

NPI # 1639733058
LBN Legal business name MENTOR ABI, LLC
Authorized official SERGIO CRUZ - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/01/2019
Last updated 04/28/2020 - About 6 years ago
Identifiers n/a
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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