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Massachusetts Mentor LLC

Foster Care Agency in Brockton, MA · enumerated 2007 · authorized official Mary Rodenberg-Roberts, Chief Regulatory Officer Sr Asst Gc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1811021090

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Registry record

Entity type Organization (Type 2)
Legal business name Massachusetts Mentor LLC
Practice address 1115 W Chestnut St Ste 202, Brockton, MA, 02301
Fax (781) 326-4654
Enumeration date Mar 16, 2007
Last updated in NPPES Jun 20, 2026

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies · License 1615 (MA) Secondary
253J00000X Foster Care Agency Agencies Primary
253Z00000X In Home Supportive Care Agency Agencies Secondary

Authorized official

Name Mary Rodenberg-Roberts
Title Chief Regulatory Officer Sr Asst Gc

Other identifiers

Identifier Type State Issuer
1904469 Medicaid MA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Massachusetts Mentor LLC?
The NPI for Massachusetts Mentor LLC is 1811021090, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Massachusetts Mentor LLC?
NPPES lists Mary Rodenberg-Roberts (Chief Regulatory Officer Sr Asst Gc) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-20.