PENNSYLVANIA MENTOR
NPI 1972667004
Community/Behavioral Health in Broomall, PA
NPI Status: Active since December 21, 2006
Contact Information
450 PARKWAY
SUITE 204
BROOMALL, PA
ZIP 19008
Phone: (610) 353-5332
Fax: (610) 353-2814
- Organization
- Community/Behavioral Health
About PENNSYLVANIA MENTOR
This page provides the complete NPI Profile along with additional information for Pennsylvania Mentor, a provider established in Broomall, Pennsylvania operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1972667004 assigned on December 2006. The practitioner's primary taxonomy code is 251S00000X with license number 105910 (PA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Pennsylvania Mentor. The authorized official of this NPI record is Brett Ian Cohen (Coo)
- NPI
- 1972667004
- Provider Legal Name
- NATIONAL MENTOR HEALTHCARE LLC
- Other Organization Name
- PENNSYLVANIA MENTOR
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 450 PARKWAY SUITE 204 BROOMALL, PA 19008
- Location Phone
- (610) 353-5332
- Location Fax
- (610) 353-2814
- Mailing Address
- 313 CONGRESS ST BOSTON, MA 02210
- Mailing Phone
- (800) 388-5150
- Mailing Fax
- (610) 353-2814
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-21-2006
- Last Update Date
- 03-19-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 105910
- License State
- PA
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251300000X | Agencies | Local Education Agency (LEA) | |
| 2 | 251S00000X | Agencies | Community/Behavioral Health | 201400 (PA) |
| 3 | 251S00000X | Agencies | Community/Behavioral Health | |
| 4 | 251S00000X | Agencies | Community/Behavioral Health | 200940 (PA) |
| 5 | 251S00000X | Agencies | Community/Behavioral Health | 465190 (PA) |
| 6 | 251S00000X | Agencies | Community/Behavioral Health | 354900 (PA) |
| 7 | 251S00000X | Agencies | Community/Behavioral Health | 0013499739-0010 (PA) |
| 8 | 251S00000X | Agencies | Community/Behavioral Health | 201020 (PA) |
| 9 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 7 | 2 | 6 | 6 | 7 | 0 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 12 | 6 | 14 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 1 + 2 + 6 + 1 + 4 + 0 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1972667004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1457699977 | SYNERGY HOMECARE Organization | Home Health | 450 PARKWAY SUITE C BROOMALL, PA 19008 (610) 265-2350 |
| 1285040493 | STEPHANIE IANNUCCI LPC, LBS Individual | Counselor (Professional) | 450 PARKWAY #204 BROOMALL, PA 19008 (610) 715-9613 |
| 1952766081 | DONNA LUONGO R.N. Individual | Registered Nurse | 450 PARKWAY BROOMALL, PA 19008 (610) 931-9065 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972667004, enumerated in the NPI registry as an "organization" on December 21, 2006
The provider is located at 450 Parkway Suite 204 Broomall, Pa 19008 and the phone number is (610) 353-5332
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
This NPI record was last updated on December 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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