- Practice location
- 55 E. College Dr., Avon Park, FL 33825
- Phone
- 863-452-5141
- Fax
- 863-452-6514
- Last updated
- March 19, 2023
National Mentor Healthcare, LLC is a healthcare organization based in Avon Park, FL. National Mentor Healthcare, LLC practices in Avon Park, FL. The NPI Number for National Mentor Healthcare, LLC is 1942347083 and holds a License No. 4012095 (FL). The current practice location address for National Mentor Healthcare, LLC is 55 E. College Dr., Avon Park, FL 33825 and can be reached out via phone at 863-452-5141 and via fax at 863-452-6514.
Provider Profile Details
- NPI Number
- 1942347083
- Provider Name
- National Mentor Healthcare, LLC
- Provider Entity Type
- Organization
- Address
- 55 E. College Dr., Avon Park, FL 33825
- Phone Number
- 863-452-5141
- Fax Number
- 863-452-6514
- Primary Taxonomy
- Intermediate Care Facility, Intellectual Disabilities · 315P00000X
- Organization Subpart
- No
- Authorized Official
- Brett Ian Cohen · Coo · 800-388-5150
- Other Names
- Florida Mentor (Doing Business As)
- Provider Enumeration Date
- January 30, 2007
- Last Update Date
- March 19, 2023
- Certification Date
- March 19, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 E. College Dr.
Avon Park, FL 33825 - City
- Avon Park
- State
- Florida
- Zip
- 33825
- Phone Number
- 863-452-5141
- Fax Number
- 863-452-6514
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
- 4012095
- License State
- FL
- Taxonomy
- Intermediate Care Facility, Intellectual Disabilities · 315P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Intermediate Care Facility, Intellectual Disabilities providers near Avon Park, FL
View all Intermediate Care Facility, Intellectual Disabilities providers in Avon Park →Frequently Asked Questions
What is the NPI number of National Mentor Healthcare, LLC?
The NPI number of National Mentor Healthcare, LLC is 1942347083. It was assigned on January 30, 2007 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 Intermediate Care Facility, Intellectual Disabilities (code 315P00000X), licensed in FL under license number 4012095.
Where does National Mentor Healthcare, LLC practice?
The practice location is 55 E. College Dr., Avon Park, FL 33825. The office can be reached at 863-452-5141 (phone) or 863-452-6514 (fax).
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 1942347083 directly on the NPPES registry website.