Provider Demographics
NPI:1235952748
Name:MENTIS REHABILITATION LLC
Entity type:Organization
Organization Name:MENTIS REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:MEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-298-6843
Mailing Address - Street 1:5202 CAREW ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-1303
Mailing Address - Country:US
Mailing Address - Phone:713-298-6843
Mailing Address - Fax:
Practice Address - Street 1:672 TREESIDE DR
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-1151
Practice Address - Country:US
Practice Address - Phone:713-298-6843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility