NEXGEN MENTORS LLC; NPI #1588456420

Contact Information

NEXGEN MENTORS LLC

1467 N MAIN ST STE C
DANVILLE, VA 24540-3755

Phone: 919-407-8696
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Public Health or Welfare	251K00000X	60	Public Health or Welfare Agency
Meals	174200000X
Supports Brokerage	251X00000X
Transportation Broker	347E00000X
Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for NEXGEN MENTORS LLC

NPI Number	`1588456420`
LBN Legal business name	NEXGEN MENTORS LLC
Authorized official	RONNIE GLASS - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/19/2025
Last updated	11/29/2025 - About 6 months 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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