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INDIANA MENTOR
NPI 1386953024
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fort Wayne, IN

Active since September 29, 2010
6008 BRANDY CHASE CV, FORT WAYNE, IN 46815(317) 581-2380 Get Directions Write a Review

NPPES record last updated: March 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Indiana Mentor NPPES

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

INDIANA MENTOR (NPI 1386953024) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fort Wayne, Indiana and active in the NPI registry since September 2010. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1386953024
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameNATIONAL MENTOR HEALTHCARE, LLC
Location Address6008 BRANDY CHASE CVFort Wayne, IN 46815-7601
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 12, 2023
NPPES CertifiedMarch 12, 2023
✔ NPI 1386953024 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.

6008 BRANDY CHASE CV, Fort Wayne, IN 46815
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Other Names 1

Doing Business AsIndiana Mentor

Other Identifiers 1

Other200943350IIN · Provider Number

Other Providers at the Same Location NPPES

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

RASHEETHA WEST
Counselor
6008 BRANDY CHASE CV
FORT WAYNE, IN 46815
Allen County (260) 486-6509

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 1386953024. 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 6008 Brandy Chase Cv, Fort Wayne, IN 46815. 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 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.