FLORIDA MENTOR
NPI 1104238773
Intermediate Care Facility, Intellectual Disabilities in Panama City, FL
About Florida Mentor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FLORIDA MENTOR (NPI 1104238773) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Panama City, Florida and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Brett Ian Cohen, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 10D2086854
National Mentor Healthcare LLC · Panama City, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PANAMA CITY, FL 32401
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 Heatlthcare, LLC's NPI number?
The NPI number for National Mentor Heatlthcare, LLC is 1104238773. It was assigned to this organization in the NPPES registry on May 29, 2014. The provider is doing business as Florida Mentor.
Where is National Mentor Heatlthcare, LLC located?
National Mentor Heatlthcare, LLC is located at 1204 W 13th St, Panama City, FL 32401. The listed phone number is (850) 785-0605.
What is National Mentor Heatlthcare, LLC's specialty?
The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
Does National Mentor Heatlthcare, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2086854) is associated with this NPI, valid through November 12, 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 National Mentor Heatlthcare, 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.
# Florida Mentor · NPI 1104238773
Intermediate Care Facility, Intellectual Disabilities organization in Panama City, Florida. Organization record, active in the CMS NPPES registry since May 29, 2014.
## Identity
- **NPI:** 1104238773 (Entity type: Organization)
- **Enumerated:** May 29, 2014
- **Primary specialty:** Intermediate Care Facility, Intellectual Disabilities · taxonomy 315P00000X
- **Legal business name:** National Mentor Heatlthcare, Llc
- **Organization subpart:** No
- **Authorized official:** Brett Cohen, COO
## Practice location
- **Address:** 1204 W 13TH ST, Panama City, FL 32401-2015
- **Phone:** (850) 785-0605
## Record status
- **NPPES last updated:** March 4, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104238773) · Data from the CMS NPPES public registry.