Provider Demographics
NPI:1841053600
Name:TECHMENTOR NATION LLC
Entity type:Organization
Organization Name:TECHMENTOR NATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-481-3784
Mailing Address - Street 1:32 CEDAR WOOD LN
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22824-9320
Mailing Address - Country:US
Mailing Address - Phone:540-481-3784
Mailing Address - Fax:
Practice Address - Street 1:32 CEDAR WOOD LN
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:VA
Practice Address - Zip Code:22824-9320
Practice Address - Country:US
Practice Address - Phone:540-481-3784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No225CA2500XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology SupplierGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health