FLORIDA MENTOR
NPI 1205248879
Intermediate Care Facility, Intellectual Disabilities in Lynn Haven, FL

Q: What is National Mentor Heatlthcare, LLC's NPI number?

The NPI number for National Mentor Heatlthcare, LLC is 1205248879. It was assigned to this organization in the NPPES registry on May 29, 2014. The provider is doing business as Florida Mentor.

Q: 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.

Active since May 29, 2014

2133 E 12TH ST, LYNN HAVEN, FL 32444(850) 785-0605 Get Directions Write a Review

NPPES record last updated: March 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Florida Mentor NPPES

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

FLORIDA MENTOR (NPI 1205248879) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Lynn Haven, Florida and active in the NPI registry since May 2014. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1205248879

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameNATIONAL MENTOR HEATLTHCARE, LLC

Location Address2133 E 12TH STLynn Haven, FL 32444-3109

Mailing Address313 Congress StBoston, MA 02210-1218 · (800) 388-5150 · Fax (617) 790-4271

Phone(850) 785-0605

Organization SubpartNo

Authorized OfficialBrett Ian CohenCoo · (800) 388-5150

Enumeration DateMay 29, 2014

Last NPPES UpdateMarch 5, 2023

NPPES CertifiedMarch 5, 2023

✔ NPI 1205248879 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.

2133 E 12TH ST, Lynn Haven, FL 32444

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Other Names 1

Doing Business AsFlorida Mentor

Other Providers at the Same Location NPPES 2

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

RESIDENTIAL CRF,INC

Home Health

2133 E 12TH ST
LYNN HAVEN, FL 32444

Bay County (850) 271-5071

RESIDENTIAL CRF, INC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

2133 E 12TH ST
LYNN HAVEN, FL 32444

Bay County (850) 785-0605

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 1205248879. 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 2133 E 12th St, Lynn Haven, FL 32444. 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.

When was this NPI record last updated?

The NPPES record for National Mentor Heatlthcare, LLC was last updated on March 5, 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.