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INDIANA MENTOR ADULT FOSTER CARE
NPI 1902115645
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Michigan City, IN

Active since September 29, 2010
214 BROADWAY ST, MICHIGAN CITY, IN 46360(317) 581-2380 Get Directions Write a Review

NPPES record last updated: March 19, 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 1902115645) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Michigan City, Indiana and active in the NPI registry since September 2010. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1902115645
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameNATIONAL MENTOR HEALTHCARE LLC
Location Address214 BROADWAY STMichigan City, IN 46360-5009
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 19, 2023
NPPES CertifiedMarch 19, 2023
✔ NPI 1902115645 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.
214 BROADWAY ST, Michigan City, IN 46360
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Other Names 1

Doing Business AsIndiana Mentor Adult Foster Care

Other Identifiers 1

Other200193830UIN · 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 1902115645. It was assigned to this organization in the NPPES registry on September 29, 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 214 Broadway St, Michigan City, IN 46360. 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 19, 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.