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INDIANA MENTOR ADULT FOSTER CARE
NPI 1497095327
Custodial Care Facility - Adult Care Home in South Bend, IN

Active since March 01, 2013
57155 WHITE PINE TRL, SOUTH BEND, IN 46619(317) 581-2380 Get Directions Write a Review

NPPES record last updated: March 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 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 1497095327) is a healthcare organization registered as an adult care home in South Bend, Indiana and active in the NPI registry since March 2013. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1497095327
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameNATIONAL MENTOR HEALTHCARE, LLC
Location Address57155 WHITE PINE TRLSouth Bend, IN 46619-5584
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 DateMarch 1, 2013
Last NPPES UpdateMarch 12, 2023
NPPES CertifiedMarch 12, 2023
✔ NPI 1497095327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
57155 WHITE PINE TRL, South Bend, IN 46619
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Other Names 1

Doing Business AsIndiana Mentor Adult Foster Care

Other Identifiers 1

Medicaid200943350YIN

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 1497095327. It was assigned to this organization in the NPPES registry on March 1, 2013. 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 57155 White Pine Trl, South Bend, IN 46619. The listed phone number is (317) 581-2380.

What is National Mentor Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

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.