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FLORIDA MENTOR
NPI 1972856011
Intermediate Care Facility, Intellectual Disabilities in Daytona Beach, FL

Active since October 25, 2012
1725 FIFTH ST, DAYTONA BEACH, FL 32117(386) 274-4172(386) 274-7629 Get Directions Write a Review

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

About Florida Mentor NPPES

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

FLORIDA MENTOR (NPI 1972856011) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Daytona Beach, Florida and active in the NPI registry since October 2012. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1972856011
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameTHE MENTOR NETWORK
Location Address1725 FIFTH STDaytona Beach, FL 32117-5107
Mailing Address313 Congress StBoston, MA 02210-1218 · (800) 388-5150 · Fax (617) 790-4271
Phone(386) 274-4172
Fax(386) 274-7629
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateOctober 25, 2012
Last NPPES UpdateMarch 19, 2023
NPPES CertifiedMarch 19, 2023
✔ NPI 1972856011 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 · 4021095
Definition

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

1725 FIFTH ST, Daytona Beach, FL 32117
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Other Names 1

Doing Business AsFlorida Mentor

Other Providers at the Same Location NPPES

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

MS. RESHINA RENEE RIX RN
Registered Nurse (General Practice)
1725 FIFTH ST
DAYTONA BEACH, FL 32117
Volusia County (386) 274-4172

Frequently Asked Questions

What is THE MENTOR NETWORK's NPI number?

The NPI number assigned to this healthcare provider is 1972856011, enumerated as an "organization" on October 25, 2012.

Where is the provider located?

The provider is located at 1725 FIFTH ST DAYTONA BEACH, FL 32117 and the phone number is (386) 274-4172.

What is the provider's specialty?

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