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INDIANA MENTOR
NPI 1285943928
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lafayette, IN

Active since September 29, 2010
15 EXECUTIVE DR, STE 1, LAFAYETTE, IN 47905(317) 581-2380 Get Directions Write a Review

NPPES record last updated: March 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Indiana Mentor NPPES

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

INDIANA MENTOR (NPI 1285943928) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Lafayette, Indiana and active in the NPI registry since September 2010. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1285943928
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameNATIONAL MENTOR HEALTHCARE, LLC
Location Address15 EXECUTIVE DR, STE 1Lafayette, IN 47905-3833
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 5, 2023
NPPES CertifiedMarch 5, 2023
✔ NPI 1285943928 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.
15 EXECUTIVE DR, Lafayette, IN 47905
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Other Names 1

Doing Business AsIndiana Mentor

Other Identifiers 1

Other200943350JIN · Provider Number

Other Providers at the Same Location NPPES 4

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

MARK ADRIAN LAKE M.D.
Dermatology
15 EXECUTIVE DR, SUITE 4
LAFAYETTE, IN 47905
Tippecanoe County (765) 838-3428
BARBARA A. OSBORN LCSW
Social Worker (Clinical)
15 EXECUTIVE DR, STE 3
LAFAYETTE, IN 47905
Tippecanoe County (765) 404-4987
MADELINE NICOLE OLIVER SAWYERS
Marriage & Family Therapist
15 EXECUTIVE DR
LAFAYETTE, IN 47905
Tippecanoe County (317) 782-5504
LAKE DERMATOLOGY INC.
Dermatology
15 EXECUTIVE DR, SUITE 4
LAFAYETTE, IN 47905
Tippecanoe County (765) 838-3428

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 1285943928. It was assigned to this organization in the NPPES registry on September 29, 2010. The provider is doing business as Indiana Mentor.

Where is National Mentor Healthcare, LLC located?

National Mentor Healthcare, LLC is located at 15 Executive Dr Ste 1, Lafayette, IN 47905. The listed phone number is (317) 581-2380.

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 5, 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.