NATIONAL MENTOR HEALTH CARE LLC (NPI# 1215182217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215182217 |
Entity Type | Organization |
Organization Name | NATIONAL MENTOR HEALTH CARE LLC |
Other Organization Name | FLORIDA MENTOR |
Practice Address |
2897 Se Monroe Street Children's Services Stuart FL 34997 |
Practice Telephone | 7722230238 |
Practice Fax Number | 7724637573 |
Mailing Telephone | 7722230238 |
Mailing Fax Number | 7724637573 |
Enumeration Date | 2008-11-19 |
Last Update Date | 2010-07-10 |
Authorized Official Name | ANDY VEGA (REGIONAL MANAGER) |
Authorized Official Telephone | 3217686420 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Florida MENTOR | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851546857 | National Mentor Health Care LLC | Foster Care Agency | 2897 Se Monroe Street, Children's Services, Stuart, FL 34997 | 2008-11-19 |
1750592630 | National Mentor Health Care LLC | Social Worker | 318 N. Main St., Troy, NC 27371 | 2007-05-24 |
1750405593 | National Mentor Health Care LLC | Community/Behavioral Health | 701 Northpoint Pkwy, Suite 315, West Palm Beach, FL 33407-1950 | 2007-03-19 |
1972733749 | National Mentor Health Care LLC | Community/Behavioral Health | 5304 S Florida Ave, Suite 406, Lakeland, FL 33813-4918 | 2009-07-15 |
1124263355 | National Mentor Health Care LLC | Community/Behavioral Health | 600 N Pine Island Rd, Suite 230, Plantation, FL 33324-1393 | 2008-12-02 |
1124145891 | National Mentor Health Care LLC | Community/Behavioral Health | 3200 Sw 34th Ave, Building 200 #203, Ocala, FL 34474-7456 | 2007-03-26 |
1215072368 | National Mentor Health Care LLC | Community/Behavioral Health | 2500 Maitland Center Pkwy, Suite 314, Maitland, FL 32751-7224 | 2007-02-20 |
1801938790 | National Mentor Health Care LLC | Community/Behavioral Health | 3200 Sw 34th Ave, Building 200 Suite 203, Ocala, FL 34474-7456 | 2007-02-14 |
Street Address |
2897 SE MONROE STREET CHILDREN'S SERVICES |
City | STUART |
State | FL |
Zip Code | 34997 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851546857 | National Mentor Health Care LLC | Foster Care Agency | 2897 Se Monroe Street, Children's Services, Stuart, FL 34997 | 2008-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
Find all providers in zip 34997 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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1770142994 | Family Preservation Services, Inc. | Community/Behavioral Health | 108 W Blue Ridge St, Stuart, VA 24171-1579 | 2019-06-11 |
1730678921 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 101 E. Blue Ridge Street, Stuart, VA 24171 | 2018-05-03 |
1700312097 | Breaking Chains | Community/Behavioral Health | 727 Mills School Rd, Stuart, VA 24171-3886 | 2017-05-04 |
1932642105 | Foothills Wellness Center | Community/Behavioral Health | 405 Patrick Avenue, Stuart, VA 24171-0581 | 2016-11-21 |
1194177006 | Family Preservation Services, Inc | Community/Behavioral Health | 260 Spring Road, Stuart, VA 24171 | 2016-07-05 |
1700203601 | Riverview Community Mental Health Center LLC | Community/Behavioral Health | 865 Se Monterey Commons Blvd, Stuart, FL 34996-3337 | 2014-03-28 |
1972897106 | Krystle Elaine Orr | Community/Behavioral Health | 91 W Hall Rd, Stuart, OK 74570-5192 | 2011-06-06 |
1730471756 | Family Preservation Services, Inc. | Community/Behavioral Health | 4559 Wayside Rd, Stuart, VA 24171-2899 | 2011-05-10 |
1629217260 | Blue Ridge Counseling Services, LLC | Community/Behavioral Health | 300 Patrick Ave, Stuart, VA 24171-0941 | 2009-02-04 |
1811148901 | Family Preservation Services, Inc. | Community/Behavioral Health | 215 Cougar Ln, Stuart, VA 24171-4519 | 2008-10-07 |
Find all providers in STUART |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.