Florida Mentor

LBN: National Mentor Healthcare Network
Florida Mentor is an health care organization with primary practice located at 4550 Ricker Rd , Jacksonville FL 32210-6308. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. National Mentor Healthcare Network can be contacted via phone (904) 778-0935, or through Cohen, Brett Ian via phone (800) 388-5150.

Contact Information

Primary practice address
4550 Ricker Rd Jacksonville FL 32210-6308
Phone: (904) 778-0935
Fax: (904) 778-8396
Website:
Map and Directions
Authorized official contact:
Name: Cohen, Brett Ian
Phone: (800) 388-5150

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 4060096 Florida

Profile Details

NPI number 1013093616
LBN Legal business name National Mentor Healthcare Network
DBA Doing business as Florida Mentor
Authorized official Cohen, Brett Ian
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 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 1013093616 NPPES
Florida MEDICAID 018500800
Florida MEDICAID 031258400

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