Florida Mentor

LBN: National Mentor Healthcare, Llc
Florida Mentor is an health care organization with primary practice located at 111 Ne Caprona Ave , Port St Lucie FL 34983-8450. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. National Mentor Healthcare, Llc can be contacted via phone (772) 879-1925, or through Cohen, Brett Ian via phone (800) 388-5150.

Contact Information

Primary practice address
111 Ne Caprona Ave Port St Lucie FL 34983-8450
Phone: (772) 879-1925
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cohen, Brett Ian
Phone: (800) 388-5150

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 4017096 Florida

Profile Details

NPI number 1144382136
LBN Legal business name National Mentor Healthcare, Llc
DBA Doing business as Florida Mentor
Authorized official Cohen, Brett Ian
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Mar 4th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144382136 NPPES
Florida MEDICAID 0312657

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