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INDIANA MENTOR
NPI 1083923726
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Daleville, IN

Active since September 29, 2010
9000 S COUNTY ROAD 800 W, DALEVILLE, IN 47334(317) 581-2380 Get Directions Write a Review

NPPES record last updated: March 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Indiana Mentor NPPES

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

INDIANA MENTOR (NPI 1083923726) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Daleville, Indiana and active in the NPI registry since September 2010. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1083923726
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameNATIONAL MENTOR HEALTHCARE, LLC
Location Address9000 S COUNTY ROAD 800 WDaleville, IN 47334-9420
Mailing Address313 Congress StBoston, MA 02210-1218 · (800) 388-5150 · Fax (617) 790-4271
Phone(317) 581-2380
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateSeptember 29, 2010
Last NPPES UpdateMarch 4, 2023
NPPES CertifiedMarch 4, 2023
✔ NPI 1083923726 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.

9000 S COUNTY ROAD 800 W, Daleville, IN 47334
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Other Names 1

Doing Business AsIndiana Mentor

Other Identifiers 1

Other200943350LIN · Provider Number

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNA BROYLES
Physical Therapy Assistant
9000 S COUNTY ROAD 800 W
DALEVILLE, IN 47334
Delaware County (765) 644-0500
MORGAN FULK
Occupational Therapist
9000 S COUNTY ROAD 800 W
DALEVILLE, IN 47334
Delaware County (765) 644-0500
MYRANDA WARD
Speech-Language Pathologist
9000 S COUNTY ROAD 800 W
DALEVILLE, IN 47334
Delaware County (765) 644-0500
PEDIATRIC THERAPY OF INDIANA, LLC
Clinic/Center (Rehabilitation)
9000 S COUNTY ROAD 800 W
DALEVILLE, IN 47334
Delaware County (317) 379-1794
CHELSEA BALEDGE
Developmental Therapist
9000 S COUNTY ROAD 800 W
DALEVILLE, IN 47334
Delaware County (765) 644-0500
MELISSA BLACK
Developmental Therapist
9000 S COUNTY ROAD 800 W
DALEVILLE, IN 47334
Delaware County (765) 644-0500
RUTH BAUMGARTNER
Developmental Therapist
9000 S COUNTY ROAD 800 W
DALEVILLE, IN 47334
Delaware County (765) 644-0500
MICHELLE TAMES
Speech-Language Pathologist
9000 S COUNTY ROAD 800 W
DALEVILLE, IN 47334
Delaware County (765) 644-0500

Frequently Asked Questions

What is NATIONAL MENTOR HEALTHCARE, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1083923726, enumerated as an "organization" on September 29, 2010.

Where is the provider located?

The provider is located at 9000 S COUNTY ROAD 800 W DALEVILLE, IN 47334 and the phone number is (317) 581-2380.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

What insurance does NATIONAL MENTOR HEALTHCARE, LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.