What is Mentor Idaho, LLC's NPI number?

Mentor Idaho, LLC's National Provider Identifier (NPI) is 1376129866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Mentor Idaho, LLC?

Mentor Idaho, LLC is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).

Where is Mentor Idaho, LLC located?

Mentor Idaho, LLC's practice location on file with NPPES is 699 S Otter Ave, Meridian, ID 83642-6144.

What is Mentor Idaho, LLC's phone number?

The practice phone number listed in the NPPES registry for Mentor Idaho, LLC is (951) 201-5914.

Who is the authorized official for Mentor Idaho, LLC?

The authorized official listed on Mentor Idaho, LLC's NPPES record is Robin Jacome, Sr. Business Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Mentor Idaho, LLC's NPI active?

Yes — Mentor Idaho, LLC's NPI (1376129866) is active in the NPPES registry as of the last update on 2021-05-26.

OrganizationActive

Mentor Idaho, LLC

NPI 1376129866 · Intellectual Disabilities Intermediate Care Facility · Meridian, ID

Mentor Idaho, LLC is a Intellectual Disabilities Intermediate Care Facility organization in Meridian, ID (NPI 1376129866).

Provider details

NPI number: 1376129866
Entity type: Organization
Primary specialty: Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Robin Jacome, Sr. Business Director(951) 201-5914

Practice location

699 S Otter Ave

Meridian, ID 83642-6144

Phone: (951) 201-5914

Street-level locationGet directions

More ID providers

Mailing address

9166 Anaheim Pl Ste 200

Rancho Cucamonga, CA 91730-8547

Specialties & taxonomies

Intellectual Disabilities Intermediate Care FacilityPrimary315P00000X
Nursing & Custodial Care Facilities
Community/Behavioral Health Agency251S00000X
Agencies

Profile Score

Established profile(63/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2021-03-23
Last updated: 2021-05-26
Certified: 2021-05-26

Frequently asked questions

What is Mentor Idaho, LLC's NPI number?: Mentor Idaho, LLC's National Provider Identifier (NPI) is 1376129866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Mentor Idaho, LLC?: Mentor Idaho, LLC is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
Where is Mentor Idaho, LLC located?: Mentor Idaho, LLC's practice location on file with NPPES is 699 S Otter Ave, Meridian, ID 83642-6144.
What is Mentor Idaho, LLC's phone number?: The practice phone number listed in the NPPES registry for Mentor Idaho, LLC is (951) 201-5914.
Who is the authorized official for Mentor Idaho, LLC?: The authorized official listed on Mentor Idaho, LLC's NPPES record is Robin Jacome, Sr. Business Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Mentor Idaho, LLC's NPI active?: Yes — Mentor Idaho, LLC's NPI (1376129866) is active in the NPPES registry as of the last update on 2021-05-26.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions