FLORIDA MENTOR
NPI 1831253780
Intermediate Care Facility, Intellectual Disabilities in Pensacola, FL

Active since December 21, 2006
9513 BARRANGER DR, PENSACOLA, FL 32514(850) 479-2745(850) 479-0957 Get Directions Write a Review

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

Record update history: Mar 19, 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 1831253780) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Pensacola, Florida and active in the NPI registry since December 2006. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1831253780
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameNATIONAL MENTOR HEALTHCARE, LLC
Location Address9513 BARRANGER DRPensacola, FL 32514-5423
Mailing Address313 Congress StBoston, MA 02210-1218 · (800) 388-5150 · Fax (617) 790-4271
Fax(850) 479-0957
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateDecember 21, 2006
Last NPPES UpdateMarch 19, 20232 updates tracked since enumeration
NPPES CertifiedMarch 19, 2023
NPI 1831253780 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
License Licensed in FL · 4110096
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

9513 BARRANGER DR, Pensacola, FL 32514

Other Names 1

Doing Business AsFlorida Mentor

Other Identifiers 1

Medicaid0312622-00FL

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831253780, enumerated as an "organization" on December 21, 2006.

The provider is located at 9513 BARRANGER DR PENSACOLA, FL 32514 and the phone number is (850) 479-2745.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.