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FLORIDA MENTOR
NPI 1003970955
Intermediate Care Facility, Intellectual Disabilities in Pensacola, FL

Active since December 21, 2006
9460 UNIVERSITY PKWY, PENSACOLA, FL 32514(850) 478-2078(850) 494-1407 Get Directions Write a Review

NPPES record last updated: March 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Florida Mentor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA MENTOR (NPI 1003970955) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Pensacola, Florida and active in the NPI registry since December 2006. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1003970955
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameNATIONAL MENTOR HEALTHCARE, LLC
Location Address9460 UNIVERSITY PKWYPensacola, FL 32514-5709
Mailing Address313 Congress StBoston, MA 02210-1218 · (800) 388-5150 · Fax (617) 790-4271
Phone(850) 478-2078
Fax(850) 494-1407
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateDecember 21, 2006
Last NPPES UpdateMarch 4, 20232 updates tracked since enumeration
NPPES CertifiedMarch 4, 2023
✔ NPI 1003970955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in FL · 4057095
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
9460 UNIVERSITY PKWY, Pensacola, FL 32514
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Other Names 1

Doing Business AsFlorida Mentor

Other Identifiers 1

Medicaid0312649-00FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is National Mentor Healthcare, LLC's NPI number?

The NPI number for National Mentor Healthcare, LLC is 1003970955. It was assigned to this organization in the NPPES registry on December 21, 2006. The provider is doing business as Florida Mentor.

Where is National Mentor Healthcare, LLC located?

National Mentor Healthcare, LLC is located at 9460 University Pkwy, Pensacola, FL 32514. The listed phone number is (850) 478-2078.

What is National Mentor Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for National Mentor Healthcare, LLC was last updated on March 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.