National Mentor Healthcare,Llc in Jacksonville - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
National Mentor Healthcare,Llc - NPI 1720141542
National Mentor Healthcare,Llc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Jacksonville, Florida. National Mentor Healthcare,Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for National Mentor Healthcare,Llc is 1720141542. The last update date is 2023-03-19.
National Mentor Healthcare,Llc's current location address is 3615 Hodges Blvd, Jacksonville, Florida. You can contact this provider via phone number 9042234173 and fax number 9042235611. The mailing address for National Mentor Healthcare,Llc is 3615 Hodges Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | National Mentor Healthcare,Llc |
|---|---|
| Address | 3615 Hodges Blvd, Jacksonville, Florida |
| Phone Number | 9042234173 |
| Fax Number | 9042235611 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Cohen Ian Brett |
| Telephone Number | 8003885150 |
NPI Number Detail
| NPI Number | 1720141542 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2023-03-19 |
Provider Mailing Address Detail
| Address | 3615 Hodges Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241288 |
| Phone Number | 9042234173 |
| Fax Number | 9042235611 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0312592 00 | FL | -- |
Post Comment/ Review Below
What is the National Mentor Healthcare,Llc's 1720141542?
The National Mentor Healthcare,Llc's NPI (National Provider Identifier) Number is 1720141542. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where National Mentor Healthcare,Llc's facilities are geographically located?
The facilities of National Mentor Healthcare,Llc are physically situated at the following location: 3615 Hodges Blvd, Jacksonville, FL, 322241288.
What is National Mentor Healthcare,Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The National Mentor Healthcare,Llc's area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
When was the National Mentor Healthcare,Llc's 1720141542 issued?
The National Mentor Healthcare,Llc's 1720141542 was issued on 2006-12-19.
When was the information regarding National Mentor Healthcare,Llc most recently updated?
The details pertaining to the National Mentor Healthcare,Llc, including its address, specialty, and other relevant information, were last refreshed on 2023-03-19.
NPI Number: 1396748448
Address: 100 Metropolitan Drive Associated Medical Professionals, Liverpool, NY
NPI Number: 1952304982
Address: 310 Lafayette Ave Se Ste 410, Grand Rapids, MI
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI