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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MASSACHUSETTS MENTOR LLC
NPI 1811021090
Foster Care Agency in Brockton, MA

Active since March 16, 2007
1115 W CHESTNUT ST STE 202, BROCKTON, MA 02301(781) 326-4207(781) 326-4654 Get Directions Write a Review

NPPES record last updated: June 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2024, Apr 25, 2024, Aug 2, 2021 and 1 more (4 updates tracked since 2020).

About Massachusetts Mentor Llc NPPES

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

MASSACHUSETTS MENTOR LLC (NPI 1811021090) is a healthcare organization registered as a foster care agency in Brockton, Massachusetts and active in the NPI registry since March 2007. The organization lists Mary Patricia Rodenberg-roberts, Chief Regulatory Officer Sr Asst Gc, as its authorized official.

NPPES Registry Identity

NPI1811021090
Entity TypeOrganization
Primary Taxonomy253J00000X
Legal Business NameMASSACHUSETTS MENTOR LLC
Location Address1115 W CHESTNUT ST STE 202Brockton, MA 02301-7501
Mailing Address6600 France Ave S Ste 350Edina, MN 55435-1810 · (800) 388-5150
Phone(781) 326-4207
Fax(781) 326-4654
Organization SubpartNo
Authorized OfficialMary Patricia Rodenberg-robertsChief Regulatory Officer Sr Asst Gc · (952) 836-2234
Enumeration DateMarch 16, 2007
Last NPPES UpdateJune 20, 20264 updates tracked since enumeration
NPPES CertifiedJune 20, 2026
✔ NPI 1811021090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFoster Care AgencyAgencies
Taxonomy Code253J00000X
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 1615 (MA)
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
1115 W CHESTNUT ST STE 202, Brockton, MA 02301
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Other Identifiers 1

Medicaid1904469MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 3

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

MASSACHUSETTS MENTOR LLC
Home Health
1115 W CHESTNUT ST STE 202
BROCKTON, MA 02301
Plymouth County (508) 824-1355
MASSACHUSETTS MENTOR, INC.
Home Health
1115 W CHESTNUT ST STE 202
BROCKTON, MA 02301
Plymouth County (508) 824-1355
MASSACHUSETTS MENTOR LLC
Home Health
1115 W CHESTNUT ST STE 202
BROCKTON, MA 02301
Plymouth County (508) 824-1355

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 Massachusetts Mentor LLC's NPI number?

The NPI number for Massachusetts Mentor LLC is 1811021090. It was assigned to this organization in the NPPES registry on March 16, 2007.

Where is Massachusetts Mentor LLC located?

Massachusetts Mentor LLC is located at 1115 W Chestnut St Ste 202, Brockton, MA 02301. The listed phone number is (781) 326-4207.

What is Massachusetts Mentor LLC's specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

What insurance does Massachusetts Mentor LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Massachusetts Mentor LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Massachusetts Mentor LLC was last updated on June 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.