NC MENTOR (NATIONAL MENTOR HEALTHCARE, LLC) NPI 1346526860

Public Health or Welfare in Winston Salem, NC

Organization Public Health or Welfare

About NC MENTOR (NATIONAL MENTOR HEALTHCARE, LLC)

Nc Mentor (national Mentor Healthcare, Llc) is a provider established in Winston Salem, North Carolina specializing in public health or welfare. The NPI number of Nc Mentor (national Mentor Healthcare, Llc) is 1346526860 and was assigned on October 2011. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Nc Mentor. The authorized official of this NPI record is Preston Scott Martin (Executive Director)

NPI

1346526860

Provider NameNC MENTOR (NATIONAL MENTOR HEALTHCARE, LLC)
Provider Location Address4035 UNIVERSITY PKWY SUITE 101 WINSTON SALEM, NC 27106
Provider Mailing Address3125 POPLARWOOD CT SUITE 300 RALEIGH, NC 27604
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameNC MENTOR
Other Name TypeDoing Business As (3)
Enumeration Date10-28-2011
Last Update Date11-14-2014

Primary Taxonomy

Taxonomy Code251K00000X
ClassificationPublic Health or Welfare
TypeAgencies

Business Address

NC MENTOR
4035 UNIVERSITY PKWY
SUITE 101
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 397-1560
Fax: (336) 397-1566

Get Directions

Mailing Address

NC MENTOR
3125 POPLARWOOD CT
SUITE 300
RALEIGH, NC
ZIP 27604
Phone: (919) 790-8580
Fax: (919) 866-3255

Authorized Official

Authorized Official Name PRESTON SCOTT MARTIN
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(919) 790-8580

Other Providers at the same location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003236050INSTITUTE FOR FAMILY CENTERED SERVICES
Organization
Early Intervention Provider Agency4035 UNIVERSITY PKWY SUITE 101
WINSTON SALEM, NC 27106
(336) 397-1563
1003284852PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC
Organization
Community/Behavioral Health4035 UNIVERSITY PKWY STE 101
WINSTON SALEM, NC 27106
(336) 397-1560
1114278546 LESLIE MANN LMFTA
Individual
Marriage & Family Therapist4035 UNIVERSITY PKWY SUITE 101
WINSTON SALEM, NC 27106
(336) 397-1560
1174881874 AMIE M HOPKINS PLCSW
Individual
Social Worker (Clinical)4035 UNIVERSITY PKWY
WINSTON SALEM, NC 27106
(336) 397-1560
1417907395DOCTORS HOME VISITS OF THE TRIAD, PC
Organization
Home Health4035 UNIVERSITY PKWY SUITE 100
WINSTON-SALEM, NC 27106
(336) 896-0826
1467671321 WANDA PEARMAN
Individual
Counselor (Mental Health)4035 UNIVERSITY PKWY
WINSTON SALEM, NC 27106
(336) 397-1560
1598067126MRS. LISA FRIEBELE MORRIS LPC, NCC
Individual
Counselor (Professional)4035 UNIVERSITY PKWY SUITE 101
WINSTON SALEM, NC 27106
(336) 816-3712
1649301573MRS. STACEY HEPLER INMAN M.A., L.C.A.S, C.C.S
Individual
Counselor (Professional)4035 UNIVERSITY PKWY
WINSTON SALEM, NC 27106
(336) 561-1268
1689624827ARETE MEDICAL SERVICES, L.L.C.
Organization
Nurse Practitioner4035 UNIVERSITY PKWY SUITE 100
WINSTON-SALEM, NC 27106
(336) 896-0826
1689818510INSTITUTE FOR FAMILY CENTERED SERVICES
Organization
Community/Behavioral Health4035 UNIVERSITY PKWY SUITE 101
WINSTON SALEM, NC 27106
(336) 397-1560
1740600634 MELINDA SNYDER LPCA
Individual
Counselor (Mental Health)4035 UNIVERSITY PKWY
WINSTON SALEM, NC 27106
(336) 397-1563
1780989004MR. KEVIN RICHARD DONNELLY MSW, LCSW
Individual
Social Worker (Clinical)4035 UNIVERSITY PKWY SUITE 101
WINSTON SALEM, NC 27106
(336) 397-1560
1801347794 ANDREW JONATHAN DUNLEAVY MSW, LCSWA
Individual
Social Worker (Clinical)4035 UNIVERSITY PKWY
WINSTON SALEM, NC 27106
(336) 747-3213
1982149142 JESSICA KOWALSKI PRICE MS, LPCA
Individual
Counselor (Mental Health)4035 UNIVERSITY PKWY SUITE 101
WINSTON SALEM, NC 27106
(336) 397-1560

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.