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MENTOR ABI, LLC

Company Details

Name: MENTOR ABI, LLC
Jurisdiction: Rhode Island
Entity type: Foreign Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 08 Feb 2010 (15 years ago)
Identification Number: 000528297
Place of Formation: DELAWARE
Purpose: HEALTH AND HUMAN SERVICES
Fictitious names: NeuroRestorative Rhode Island (trading name, 2010-06-10 - )
Principal Address: Google Maps Logo 6600 FRANCE AVENUE SOUTH SUITE 350, EDINA, MN, 55435, USA

Industry & Business Activity

NAICS

623210 Residential Intellectual and Developmental Disability Facilities

This industry comprises establishments (e.g., group homes, hospitals, intermediate care facilities) primarily engaged in providing residential care services for persons diagnosed with intellectual and developmental disabilities. These facilities may provide some health care, though the focus is room, board, protective supervision, and counseling. Learn more at the U.S. Census Bureau

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

MANAGER

Name Role Address
PHILIP ROBERTS KAUFMAN MANAGER 6600 FRANCE AVENUE SOUTH, SUITE 350 EDINA, MN 55435 USA
DAVID R. CALLEN MANAGER 6600 FRANCE AVENUE SOUTH, SUITE 350 EDINA, MN 55435 USA
DANNA M. SZWED MANAGER 6600 FRANCE AVENUE SOUTH, SUITE 350 EDINA, MN 55435 USA

National Provider Identifier

NPI Number:
1639476617

Authorized Person:

Name:
MR. SCOTT DAVIS
Role:
SR. BUSINESS DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary:
No
Selected Taxonomy:
320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
202459135450 Amendment to Application for Registration 2024-08-29
202453755230 Annual Report 2024-05-02
202333886760 Annual Report 2023-04-25
202216861590 Annual Report 2022-05-04
202103852630 Annual Report 2021-10-25

Date of last update: 29 May 2025

Sources: Rhode Island Department of State