FLORIDA MENTOR
NPI 1144382136
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Port St Lucie, FL

Active since December 15, 2006
111 NE CAPRONA AVE, PORT ST LUCIE, FL 34983(772) 879-1925 Get Directions Write a Review

NPPES record last updated: March 4, 2023. Verified against the NPPES registry weekly; last sync: August 23, 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 1144382136) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Port St Lucie, Florida and active in the NPI registry since December 2006. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1144382136
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameNATIONAL MENTOR HEALTHCARE, LLC
Location Address111 NE CAPRONA AVEPort St Lucie, FL 34983-8450
Mailing Address313 Congress StBoston, MA 02210-1218 · (800) 388-5150 · Fax (617) 790-4271
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateDecember 15, 2006
Last NPPES UpdateMarch 4, 20232 updates tracked since enumeration
NPPES CertifiedMarch 4, 2023
NPI 1144382136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in FL · 4017096
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
111 NE CAPRONA AVE, Port St Lucie, FL 34983

Other Names 1

Other NameFlorida Mentor

Other Identifiers 1

Medicaid0312657FL

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 1144382136. It was assigned to this organization in the NPPES registry on December 15, 2006. The provider is also known as Florida Mentor.

Where is National Mentor Healthcare, LLC located?

National Mentor Healthcare, LLC is located at 111 NE Caprona Ave, Port St Lucie, FL 34983. The listed phone number is (772) 879-1925.

What is National Mentor Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

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.