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NEW JERSEY MENTOR
NPI 1104335298
Residential Treatment Facility, Emotionally Disturbed Children in Atco, NJ

Active since September 21, 2017

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

Record update history: Mar 4, 2023, Sep 21, 2017 (2 updates tracked since 2017).

About New Jersey Mentor NPPES

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

NEW JERSEY MENTOR (NPI 1104335298) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Atco, New Jersey and active in the NPI registry since September 2017. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1104335298
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameNATIONAL MENTOR HEALTHCARE NETWORK
Location Address2301 ATCO AVEAtco, NJ 08004-1714
Mailing Address80 Cottontail Ln Ste 330Somerset, NJ 08873-1100 · (732) 627-9890
Phone(732) 627-9890
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateSeptember 21, 2017
Last NPPES UpdateMarch 4, 20232 updates tracked since enumeration
NPPES CertifiedMarch 4, 2023
✔ NPI 1104335298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
2301 ATCO AVE, Atco, NJ 08004
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Other Names 1

Doing Business AsNew Jersey Mentor

Other Identifiers 1

Medicaid0415260NJ

Other Providers at the Same Location NPPES

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

NATIONAL MENTOR HEALTHCARE, LLC
Psychiatric Residential Treatment Facility
2301 ATCO AVE
ATCO, NJ 08004
Camden County (732) 627-9890

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 Network's NPI number?

The NPI number for National Mentor Healthcare Network is 1104335298. It was assigned to this organization in the NPPES registry on September 21, 2017. The provider is doing business as New Jersey Mentor.

Where is National Mentor Healthcare Network located?

National Mentor Healthcare Network is located at 2301 Atco Ave, Atco, NJ 08004. The listed phone number is (732) 627-9890.

What is National Mentor Healthcare Network's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for National Mentor Healthcare Network 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.