1. Home
  2. Directory
  3. New Jersey
  4. Willingboro
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

NEW JERSEY MENTOR
NPI 1043690076
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Willingboro, NJ

Active since June 04, 2015
44 CLEARWATER DR, WILLINGBORO, NJ 08046(732) 627-9890 Get Directions Write a Review

NPPES record last updated: March 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About New Jersey Mentor NPPES

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

NEW JERSEY MENTOR (NPI 1043690076) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Willingboro, New Jersey and active in the NPI registry since June 2015. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1043690076
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameNATIONAL MENTOR HEALTHCARE, LLC
Location Address44 CLEARWATER DRWillingboro, NJ 08046-3519
Mailing Address80 Cottontail Ln, Suite 330Somerset, NJ 08873-1100 · (732) 627-9890 · Fax (732) 563-6780
Phone(732) 627-9890
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateJune 4, 2015
Last NPPES UpdateMarch 4, 2023
NPPES CertifiedMarch 4, 2023
✔ NPI 1043690076 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.
44 CLEARWATER DR, Willingboro, NJ 08046
Open in Google Maps ↗

Other Names 1

Doing Business AsNew Jersey Mentor

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 National Mentor Healthcare, LLC's NPI number?

The NPI number for National Mentor Healthcare, LLC is 1043690076. It was assigned to this organization in the NPPES registry on June 4, 2015. The provider is doing business as New Jersey Mentor.

Where is National Mentor Healthcare, LLC located?

National Mentor Healthcare, LLC is located at 44 Clearwater Dr, Willingboro, NJ 08046. The listed phone number is (732) 627-9890.

What is National Mentor Healthcare, 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.

When was this NPI record last updated?

The NPPES record for National Mentor Healthcare, LLC was last updated on March 4, 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.