NEW JERSEY MENTOR – NPI #1932589975
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

NEW JERSEY MENTOR is a community based residential treatment facility located in NEWTONVILLE, NJ. NPPES has assigned the NPI number 1932589975 to NEW JERSEY MENTOR on June 04, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NEW JERSEY MENTOR” is a dba name, the actual legal business name for this organization is NATIONAL MENTOR HEALTHCARE, LLC. 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 previously updated about 3 years ago on Mar 19, 2023. 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 NEW JERSEY MENTOR below.

NPI Profile for
NATIONAL MENTOR HEALTHCARE, LLC

NPI Number
1932589975
Enumeration Date

(more than 11 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
NATIONAL MENTOR HEALTHCARE, LLC
Doing Business As (dba): NEW JERSEY MENTOR
Primary location
384 8TH ST
NEWTONVILLE, NJ 08346
Phone: (732) 627-9890 Fax:
Mailing address
80 COTTONTAIL LN
SUITE 330
SOMERSET, NJ 08873-1100
Phone: (732) 627-9890 Fax: (732) 563-6780
Organization Subpart
No
Authorized Official
BRETT COHEN
COO
Phone: (800) 388-5150
Updated
Certification Date
Mar 19, 2023

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)

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.