NEW JERSEY MENTOR
NPI 1205216231
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Willingboro, NJ

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

NPPES record last updated: March 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About New Jersey Mentor NPPES

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

NEW JERSEY MENTOR (NPI 1205216231) 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

NPI1205216231
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameNATIONAL MENTOR HEALTHCARE, LLC
Location Address66 RITTENHOUSE DRWillingboro, NJ 08046-2544
Mailing Address80 Cottontail Ln, Suite 330Somerset, NJ 08873-1100 · (732) 627-9890 · Fax (732) 563-6780
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (617) 790-4271
Enumeration DateJune 4, 2015
Last NPPES UpdateMarch 5, 2023
NPPES CertifiedMarch 5, 2023
NPI 1205216231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

66 RITTENHOUSE DR, Willingboro, NJ 08046

Other Names 1

Doing Business AsNew Jersey Mentor

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205216231, enumerated as an "organization" on June 04, 2015.

The provider is located at 66 RITTENHOUSE DR WILLINGBORO, NJ 08046 and the phone number is (732) 627-9890.

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