National Mentor Healthcare, LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Port St Lucie, Florida
1144382136- Practice location
- 111 NE Caprona Ave, Port St Lucie, FL 34983-8450
- Phone
- 772-879-1925
- Fax
- —
- Last updated
- March 4, 2023
National Mentor Healthcare, LLC is a healthcare organization based in Port St Lucie, FL. National Mentor Healthcare, LLC practices in Port St Lucie, FL. The NPI Number for National Mentor Healthcare, LLC is 1144382136 and holds a License No. 4017096 (FL). The current practice location address for National Mentor Healthcare, LLC is 111 NE Caprona Ave, Port St Lucie, FL 34983-8450 and can be reached out via phone at 772-879-1925.
Provider Profile Details
- NPI Number
- 1144382136
- Provider Name
- National Mentor Healthcare, LLC
- Provider Entity Type
- Organization
- Address
- 111 NE Caprona Ave, Port St Lucie, FL 34983-8450
- Phone Number
- 772-879-1925
- Primary Taxonomy
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X
- Organization Subpart
- No
- Authorized Official
- Brett Ian Cohen · Coo · 800-388-5150
- Other Names
- Florida Mentor (Other Name)
- Provider Enumeration Date
- December 15, 2006
- Last Update Date
- March 4, 2023
- Certification Date
- March 4, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 NE Caprona Ave
Port St Lucie, FL 34983-8450 - City
- Port St Lucie
- State
- Florida
- Zip
- 34983-8450
- Phone Number
- 772-879-1925
Provider Business Mailing Address Details
- Address
- 313 Congress St
Boston, MA 02210-1218 - City
- Boston
- State
- MA
- Zip
- 02210-1218
- Phone Number
- 800-388-5150
- Fax Number
- 617-790-4271
License Information
- License Number
- 4017096
- License State
- FL
- Taxonomy
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of National Mentor Healthcare, LLC?
The NPI number of National Mentor Healthcare, LLC is 1144382136. It was assigned on December 15, 2006 and is currently active in the NPPES registry.
What is the specialty of National Mentor Healthcare, LLC?
National Mentor Healthcare, LLC is registered under the primary taxonomy Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320600000X), licensed in FL under license number 4017096.
Where does National Mentor Healthcare, LLC practice?
The practice location is 111 NE Caprona Ave, Port St Lucie, FL 34983-8450. The office can be reached at 772-879-1925 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144382136 directly on the NPPES registry website.