1. Home
  2. Directory
  3. Florida
  4. Port St Lucie
  5. Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

FLORIDA MENTOR
NPI 1871655746
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Port St Lucie, FL

Active since December 15, 2006
2318 SE RICH ST, PORT ST LUCIE, FL 34984(772) 879-3928 Get Directions Write a Review

NPPES record last updated: March 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 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 1871655746) 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

NPI1871655746
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameNATIONAL MENTOR HEALTHCARE, LLC
Location Address2318 SE RICH STPort St Lucie, FL 34984-5125
Mailing Address313 Congress StBoston, MA 02210-1218 · (800) 388-5150 · Fax (617) 790-4271
Phone(772) 879-3928
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateDecember 15, 2006
Last NPPES UpdateMarch 19, 20232 updates tracked since enumeration
NPPES CertifiedMarch 19, 2023
✔ NPI 1871655746 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 · 4067096
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.
2318 SE RICH ST, Port St Lucie, FL 34984
Open in Google Maps ↗

Other Names 1

Other NameFlorida Mentor

Other Identifiers 1

Medicaid0312665FL

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 1871655746. 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 2318 SE Rich St, Port St Lucie, FL 34984. The listed phone number is (772) 879-3928.

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.