Mentor Idaho, LLC
NPI 1376129866ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Meridian, ID
Intermediate Care Facility, Intellectual Disabilities in Meridian, Idaho, registered in NPPES in March 2021. The authorized official on file is Robin E. Jacome, Sr. Business Director.
Overview
| NPI | 1376129866 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2021 |
| Last updated in NPPES | May 26, 2021 |
| Certified by provider | May 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
| Community/Behavioral Health | 251S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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