Mentor Idaho, LLC
NPI 1679148175 · Developmental Disabilities Clinic/Center · Meridian, ID
Mentor Idaho, LLC is a Developmental Disabilities Clinic/Center organization in Meridian, ID (NPI 1679148175).
Provider details
- NPI number
- 1679148175
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robin Jacome, Sr. Business Director(951) 201-5914
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-26
- 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 1679148175, 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 Developmental Disabilities Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mentor Idaho, LLC located?
- Mentor Idaho, LLC's practice location on file with NPPES is 1001 W Broadway Ave Apt A104, Meridian, ID 83642-3730.
- 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 (1679148175) 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.