1. Home
  2. Directory
  3. Massachusetts
  4. Brockton
  5. Home Health
  6. NPI Profile

MASSACHUSETTS MENTOR LLC
NPI 1093481848
Home Health in Brockton, MA

Active since August 20, 2021
1115 W CHESTNUT ST STE 202, BROCKTON, MA 02301(508) 824-1355(508) 824-3732 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2024, Aug 20, 2021 (2 updates tracked since 2021).

About Massachusetts Mentor Llc NPPES

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

MASSACHUSETTS MENTOR LLC (NPI 1093481848) is a healthcare organization registered as a home health in Brockton, Massachusetts and active in the NPI registry since August 2021. The organization lists Ryan James Lovelady, State Director, as its authorized official.

NPPES Registry Identity

NPI1093481848
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMASSACHUSETTS MENTOR LLC
Location Address1115 W CHESTNUT ST STE 202Brockton, MA 02301-7501
Mailing Address1115 W Chestnut St Ste 202Brockton, MA 02301-7501 · (508) 824-1355 · Fax (508) 824-3732
Phone(508) 824-1355
Fax(508) 824-3732
Organization SubpartNo
Authorized OfficialRyan James LoveladyState Director · (862) 284-4565
Enumeration DateAugust 20, 2021
Last NPPES UpdateAugust 21, 20252 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1093481848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1115 W CHESTNUT ST STE 202, Brockton, MA 02301
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

MASSACHUSETTS MENTOR, INC.
Home Health
1115 W CHESTNUT ST STE 202
BROCKTON, MA 02301
Plymouth County (508) 824-1355
MASSACHUSETTS MENTOR LLC
Foster Care Agency
1115 W CHESTNUT ST STE 202
BROCKTON, MA 02301
Plymouth County (781) 326-4207
MASSACHUSETTS MENTOR LLC
Home Health
1115 W CHESTNUT ST STE 202
BROCKTON, MA 02301
Plymouth County (508) 824-1355

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 Massachusetts Mentor LLC's NPI number?

The NPI number for Massachusetts Mentor LLC is 1093481848. It was assigned to this organization in the NPPES registry on August 20, 2021.

Where is Massachusetts Mentor LLC located?

Massachusetts Mentor LLC is located at 1115 W Chestnut St Ste 202, Brockton, MA 02301. The listed phone number is (508) 824-1355.

What is Massachusetts Mentor LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Massachusetts Mentor LLC was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.