Mentor Idaho, Llc

LBN: Mentor Idaho, Llc
Mentor Idaho, Llc is an health care organization with primary practice located at 699 S Otter Ave , Meridian ID 83642-6144. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. Mentor Idaho, Llc can be contacted via phone (951) 201-5914, or through Jacome, Robin E via phone (951) 201-5914.

Contact Information

Primary practice address
699 S Otter Ave Meridian ID 83642-6144
Phone: (951) 201-5914
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jacome, Robin E
Phone: (951) 201-5914

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1376129866
LBN Legal business name Mentor Idaho, Llc
DBA Doing business as
Authorized official Jacome, Robin E
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2021
Last updated May 26th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers