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NEURORESTORATIVE NEW HAMPSHIRE
NPI 1386879096
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chichester, NH

Active since May 26, 2009CLIA 30D2239749 · Waiver
6 KING RD, CHICHESTER, NH 03258(603) 798-3376(603) 798-3748 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Neurorestorative New Hampshire NPPES

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

NEURORESTORATIVE NEW HAMPSHIRE (NPI 1386879096) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Chichester, New Hampshire and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1386879096
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameMENTOR ABI, LLC
Location Address6 KING RDChichester, NH 03258-6533
Mailing Address639 Granite StBraintree, MA 02184-5366 · (781) 356-6330
Phone(603) 798-3376
Fax(603) 798-3748
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateMay 26, 2009
Last NPPES UpdateMay 15, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1386879096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedRehabilitation HospitalTaxonomy 283X00000X
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
6 KING RD, Chichester, NH 03258
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Other Names 1

Doing Business AsNeurorestorative New Hampshire

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D2239749

Neurorestorative King House · Chichester, NH
Active · expires Oct 13, 2027
CLIA Number30D2239749
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorHeidi De Kok
Laboratory Phone(603) 848-1435
Laboratory LocationNeurorestorative King House6 King Rd, Chichester, NH 03258
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Mentor Abi, LLC's NPI number?

The NPI number for Mentor Abi, LLC is 1386879096. It was assigned to this organization in the NPPES registry on May 26, 2009. The provider is doing business as Neurorestorative New Hampshire.

Where is Mentor Abi, LLC located?

Mentor Abi, LLC is located at 6 King Rd, Chichester, NH 03258. The listed phone number is (603) 798-3376.

What is Mentor Abi, 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.

Does Mentor Abi, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2239749) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mentor Abi, LLC was last updated on May 15, 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.