NATIONAL MENTOR HEALTHCARE,LLC
NPI 1720141542
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL

Q: What is National Mentor Healthcare,llc's NPI number?

The NPI number for National Mentor Healthcare,llc is 1720141542. It was assigned to this organization in the NPPES registry on December 19, 2006.

Q: 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.

Active since December 19, 2006

3615 HODGES BLVD, JACKSONVILLE, FL 32224(904) 223-4173(904) 223-5611 Get Directions Write a Review

NPPES record last updated: March 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About National Mentor Healthcare,llc NPPES

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

NATIONAL MENTOR HEALTHCARE,LLC (NPI 1720141542) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, Florida and active in the NPI registry since December 2006. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1720141542

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameNATIONAL MENTOR HEALTHCARE,LLC

Location Address3615 HODGES BLVDJacksonville, FL 32224-1288

Mailing Address3615 Hodges BlvdJacksonville, FL 32224-1288 · (904) 223-4173 · Fax (904) 223-5611

Phone(904) 223-4173

Fax(904) 223-5611

Organization SubpartNo

Authorized OfficialBrett Ian CohenCoo · (800) 388-5150

Enumeration DateDecember 19, 2006

Last NPPES UpdateMarch 19, 2023

NPPES CertifiedMarch 19, 2023

✔ NPI 1720141542 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 · 4034096

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.

3615 HODGES BLVD, Jacksonville, FL 32224

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Other Identifiers 1

Medicaid0312592 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 1720141542. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is National Mentor Healthcare,llc located?

National Mentor Healthcare,llc is located at 3615 Hodges Blvd, Jacksonville, FL 32224. The listed phone number is (904) 223-4173.

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 19, 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.