MENTOR ABI – NPI #1639476617
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

MENTOR ABI is a community based residential treatment facility located in CHARLESTOWN, RI. NPPES has assigned the NPI number 1639476617 to MENTOR ABI on February 28, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was last updated on Dec 29, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MENTOR ABI below.

NPI Profile for
MENTOR ABI

NPI Number
1639476617
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MENTOR ABI
Primary location
4119 S COUNTY TRL
CHARLESTOWN, RI 02813-3847
Phone: (401) 364-8717 Fax:
1 Other location(s):
4219 S County Trl
Charlestown, RI 02813-3628
Phone: (800) 388-5150
Mailing address
639 GRANITE ST
BRAINTREE, MA 02184-5366
Phone: (781) 356-6330 Fax:
Organization Subpart
No
Authorized Official
MARY RODENBERG-ROBERTS
VP & SR ASST GENERAL COUNSEL
Phone: (952) 836-2234
Updated
Certification Date
Dec 29, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
251C00000X
- Day Training, Developmentally Disabled Services

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.