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NEW JERSEY MENTOR PRIDE RTC HOUSE
NPI 1548659873
Residential Treatment Facility, Emotionally Disturbed Children in Somerset, NJ

Active since January 09, 2015
80 COTTONTAIL LN, SUITE 330, SOMERSET, NJ 08873(732) 627-9890(732) 563-6780 Get Directions Write a Review

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

Record update history: Mar 12, 2023, Mar 16, 2016 (2 updates tracked since 2016).

About New Jersey Mentor Pride Rtc House NPPES

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

NEW JERSEY MENTOR PRIDE RTC HOUSE (NPI 1548659873) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Somerset, New Jersey and active in the NPI registry since January 2015. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1548659873
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameNATIONAL MENTOR HEALTHCARE LLC
Location Address80 COTTONTAIL LN, SUITE 330Somerset, NJ 08873-1100
Mailing Address80 Cottontail Ln, Suite 330Somerset, NJ 08873-1100 · (732) 627-9890 · Fax (732) 563-6780
Phone(732) 627-9890
Fax(732) 563-6780
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateJanuary 9, 2015
Last NPPES UpdateMarch 12, 20232 updates tracked since enumeration
NPPES CertifiedMarch 12, 2023
✔ NPI 1548659873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
80 COTTONTAIL LN, Somerset, NJ 08873
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Other Names 1

Doing Business AsNew Jersey Mentor Pride Rtc House

Other Identifiers 2

Medicaid0485136NJ
Medicaid0472042NJ

Other Providers at the Same Location NPPES 20

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

NJ MENTOR
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
80 COTTONTAIL LN, SUITE 330
SOMERSET, NJ 08873
Somerset County (732) 627-9890
REM NEW JERSEY, INC.
Clinic/Center (Adult Day Care)
80 COTTONTAIL LN, SUITE 330
SOMERSET, NJ 08873
Somerset County (732) 627-9890
NATIONAL MENTOR HEALTHCARE
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
80 COTTONTAIL LN, SUITE 330
SOMERSET, NJ 08873
Somerset County (732) 627-9890
NATIONAL MENTOR HEALTHCARE LLC
Residential Treatment Facility, Emotionally Disturbed Children
80 COTTONTAIL LN, SUITE 330
SOMERSET, NJ 08873
Somerset County (732) 627-9890
NATIONAL MENTOR HEALTHCARE, LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
80 COTTONTAIL LN, SUITE 330
SOMERSET, NJ 08873
Somerset County (732) 627-9890
NATIONAL MENTOR HEALTHCARE, LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
80 COTTONTAIL LN, SUITE 330
SOMERSET, NJ 08873
Somerset County (732) 627-9890
NJ MENTOR
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
80 COTTONTAIL LN, SUITE 330
SOMERSET, NJ 08873
Somerset County (732) 627-9890
NATIONAL MENTOR HEALTHCARE, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
80 COTTONTAIL LN, STE 330
SOMERSET, NJ 08873
Somerset County (732) 627-9890

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 1548659873. It was assigned to this organization in the NPPES registry on January 9, 2015. The provider is doing business as New Jersey Mentor Pride Rtc House.

Where is National Mentor Healthcare LLC located?

National Mentor Healthcare LLC is located at 80 Cottontail Ln Suite 330, Somerset, NJ 08873. The listed phone number is (732) 627-9890.

What is National Mentor Healthcare LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

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.