HILLSBOROUGH COUNTY DEVELOPMENTAL CENTER
NPI 1093322794
Intermediate Care Facility, Intellectual Disabilities in Tampa, FL

Active since September 26, 2020CLIA 10D0645571 · Waiver
14219 BRUCE B DOWNS BLVD, TAMPA, FL 33613(813) 971-3490(813) 977-3471 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2020, Oct 1, 2020, Sep 26, 2020 (3 updates tracked since 2020).

About Hillsborough County Developmental Center NPPES

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

HILLSBOROUGH COUNTY DEVELOPMENTAL CENTER (NPI 1093322794) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Tampa, Florida and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Carol Swanson, Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1093322794
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameFLORIDA MENTOR II LLC
Location Address14219 BRUCE B DOWNS BLVDTampa, FL 33613-3913
Mailing Address3258 Parkside Center CirTampa, FL 33619-0907 · (813) 389-8300
Fax(813) 977-3471
Organization SubpartYes
Authorized OfficialCarol SwansonVice President Of Operations · (813) 389-8300
Enumeration DateSeptember 26, 2020
Last NPPES UpdateNovember 18, 20203 updates tracked since enumeration
NPPES CertifiedNovember 18, 2020
NPI 1093322794 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
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
14219 BRUCE B DOWNS BLVD, Tampa, FL 33613

Other Names 1

Doing Business AsHillsborough County Developmental Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0645571

Hillsborough County Developmental Center · Tampa, FL
Active · expires Aug 31, 2026
CLIA Number10D0645571
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMary E. Johnson
Laboratory Phone(813) 971-3490
Laboratory LocationHillsborough County Developmental Center14219 Bruce B Downs Blvd, Tampa, FL 33613
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
14219 BRUCE B DOWNS BLVD
TAMPA, FL 33613

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 Florida Mentor II LLC's NPI number?

The NPI number for Florida Mentor II LLC is 1093322794. It was assigned to this organization in the NPPES registry on September 26, 2020. The provider is doing business as Hillsborough County Developmental Center.

Where is Florida Mentor II LLC located?

Florida Mentor II LLC is located at 14219 Bruce B Downs Blvd, Tampa, FL 33613. The listed phone number is (813) 971-3490.

What is Florida Mentor II LLC's specialty?

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

Does Florida Mentor II LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0645571) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Florida Mentor II LLC was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.