FLORIDA MENTOR
NPI 1770055980
Intermediate Care Facility, Intellectual Disabilities in Lecanto, FL

Active since December 28, 2018CLIA 10D2200449 · Waiver
1275 N RAINBOW LOOP, LECANTO, FL 34461(352) 746-3262 Get Directions Write a Review

NPPES record last updated: March 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2023, Jan 24, 2019, Dec 28, 2018 (3 updates tracked since 2018).

About Florida Mentor NPPES

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

FLORIDA MENTOR (NPI 1770055980) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Lecanto, Florida and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1770055980
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameNATIONAL MENTOR HEALTHCARE LLC
Location Address1275 N RAINBOW LOOPLecanto, FL 34461-8893
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 28, 2018
Last NPPES UpdateMarch 19, 20233 updates tracked since enumeration
NPPES CertifiedMarch 19, 2023
NPI 1770055980 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.
1275 N RAINBOW LOOP, Lecanto, FL 34461

Other Names 1

Doing Business AsFlorida Mentor

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 10D2200449

National Mentor Healthcare LLC · Lecanto, FL
Active · expires Nov 15, 2026
CLIA Number10D2200449
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorDana Brown
Laboratory Phone(352) 746-3262
Laboratory LocationNational Mentor Healthcare LLC1275 N Rainbow Loop, Lecanto, FL 34461
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1770055980. It was assigned to this organization in the NPPES registry on December 28, 2018. The provider is doing business as Florida Mentor.

Where is National Mentor Healthcare LLC located?

National Mentor Healthcare LLC is located at 1275 N Rainbow Loop, Lecanto, FL 34461. The listed phone number is (352) 746-3262.

What is National Mentor Healthcare LLC's specialty?

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

Does National Mentor Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2200449) is associated with this NPI, valid through November 15, 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 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.