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NEURORESTORATIVE MAINE
NPI 1033426739
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sebago, ME

Active since September 02, 2010CLIA Certified · 2 labs
986 SEBAGO RD, SEBAGO, ME 04029(207) 787-2162(207) 787-2246 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neurorestorative Maine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEURORESTORATIVE MAINE (NPI 1033426739) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Sebago, Maine and active in the NPI registry since September 2010. The organization holds 2 active CLIA laboratory certificates and lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1033426739
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameMENTOR ABI, LLC
Location Address986 SEBAGO RDSebago, ME 04029-3814
Mailing Address313 Congress StBoston, MA 02210-1218 · (800) 388-5150 · Fax (617) 790-4271
Phone(207) 787-2162
Fax(207) 787-2246
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateSeptember 2, 2010
Last NPPES UpdateMay 15, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1033426739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
986 SEBAGO RD, Sebago, ME 04029
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Other Names 1

Doing Business AsNeurorestorative Maine

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2238549

Neurorestorative Sebago 1 (main House) · Sebago, ME
Active · expires Oct 4, 2027
CLIA Number20D2238549
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorHeidi De Kok
Laboratory Phone(609) 731-2938
Laboratory LocationNeurorestorative Sebago 1 (main House)986 Sebago Rd, Sebago, ME 04029
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 20D2238534

Mentor Abi LLC Neurorestorative-Maine (lodge) · Sebago, ME
Active · expires Oct 4, 2027
CLIA Number20D2238534
Laboratory TypeRes. Care Groupe Hm.
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorJennifer L. Jello
Laboratory Phone(207) 239-0124
Laboratory LocationMentor Abi LLC Neurorestorative-Maine (lodge)1014 Sebago Rd, Sebago, ME 04029
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mentor Abi, LLC's NPI number?

The NPI number for Mentor Abi, LLC is 1033426739. It was assigned to this organization in the NPPES registry on September 2, 2010. The provider is doing business as Neurorestorative Maine.

Where is Mentor Abi, LLC located?

Mentor Abi, LLC is located at 986 Sebago Rd, Sebago, ME 04029. The listed phone number is (207) 787-2162.

What is Mentor Abi, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Mentor Abi, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mentor Abi, LLC was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.