INDIANA MENTOR ADULT FOSTER CARE
NPI 1457667164
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Spencer, IN

Active since August 19, 2010
4005 TEXAS PIKE, SPENCER, IN 47460(317) 581-2380 Get Directions Write a Review

NPPES record last updated: March 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Indiana Mentor Adult Foster Care NPPES

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

INDIANA MENTOR ADULT FOSTER CARE (NPI 1457667164) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Spencer, Indiana and active in the NPI registry since August 2010. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1457667164
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameNATIONAL MENTOR HEALTHCARE LLC
Location Address4005 TEXAS PIKESpencer, IN 47460-7158
Mailing Address313 Congress StBoston, MA 02210-1218 · (800) 388-5150 · Fax (617) 790-4271
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateAugust 19, 2010
Last NPPES UpdateMarch 12, 2023
NPPES CertifiedMarch 12, 2023
NPI 1457667164 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.
4005 TEXAS PIKE, Spencer, IN 47460

Other Names 1

Doing Business AsIndiana Mentor Adult Foster Care

Other Identifiers 1

Other200193830RIN · Provider Number

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 1457667164. It was assigned to this organization in the NPPES registry on August 19, 2010. The provider is doing business as Indiana Mentor Adult Foster Care.

Where is National Mentor Healthcare LLC located?

National Mentor Healthcare LLC is located at 4005 Texas Pike, Spencer, IN 47460. 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 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.