NATIONAL MENTOR HEALTHCARE LLC (NPI# 1760526107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760526107 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE LLC |
| Other Organization Name | FLORIDA MENTOR |
| Practice Address |
5820 West Cypress Street Suite H Tampa FL 33607-1785 |
| Practice Telephone | 8132810123 |
| Practice Fax Number | 8132810283 |
| Mailing Telephone | 8132810123 |
| Mailing Fax Number | 8132810283 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2010-09-10 |
| Authorized Official Name | CAROLE YOUNT (PROGRAM MANAGER) |
| Authorized Official Telephone | 8132810123 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 766162201 | 05 | |
| FL | 766162200 | 05 |
| Other Name | Type Code |
|---|---|
| Florida Mentor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055980 | National Mentor Healthcare LLC | Intermediate Care Facility, Mentally Retarded | 1275 N Rainbow Loop, Lecanto, FL 34461-8893 | 2018-12-28 |
| 1689098030 | National Mentor Healthcare LLC | Community Based Residential Treatment Facility, Mental Illness | 12502 N 85th Ln, Peoria, AZ 85381-5160 | 2014-02-05 |
| 1598005423 | National Mentor Healthcare LLC | Custodial Care Facility | 6032 W 7th Ave, Gary, IN 46406-1314 | 2013-03-01 |
| 1932485174 | National Mentor Healthcare LLC | Community/Behavioral Health | 400 Fisher Rd, Brevard, NC 28712-3895 | 2011-11-02 |
| 1588940720 | National Mentor Healthcare LLC | Community/Behavioral Health | 601 Greenville Hwy, Brevard, NC 28712-9414 | 2011-11-02 |
| 1578872289 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 820 E Tipton St, Seymour, IN 47274-3524 | 2010-09-29 |
| 1528375896 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10129 Penrith Dr, Indianapolis, IN 46229-1397 | 2010-09-08 |
| 1437466703 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 116 S Carroll Ave, Michigan City, IN 46360-5341 | 2010-09-08 |
| 1982910675 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9740 E 21st St, Indianapolis, IN 46229-1708 | 2010-08-19 |
| 1457667164 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4005 Texas Pike, Spencer, IN 47460-7158 | 2010-08-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | National Mentor Healthcare LLC | The Mentor Network, 313 Congress St 5th Fl, Boston, Massachusetts 02210 |
| Street Address |
5820 WEST CYPRESS STREET SUITE H |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-1785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661446 | Trinity Mental Health Inc | Community/Behavioral Health | 4236 W Linebaugh Ave, Tampa, FL 33624-5241 | 2020-08-28 |
| 1932718467 | Diane G .hill, Phd | Community/Behavioral Health | 1205 N Franklin St Ste 328, Tampa, FL 33602-3313 | 2020-07-30 |
| 1285258293 | Essential Mental Health Inc | Community/Behavioral Health | 4311 W Waters Ave Ste 304, Tampa, FL 33614-2194 | 2020-06-05 |
| 1871114801 | Resurgence Tampa Bay LLC | Community/Behavioral Health | 3808 Gunn Hwy, Tampa, FL 33618-8757 | 2020-04-30 |
| 1841819489 | Tri-lyfe Support Services Inc | Community/Behavioral Health | 3919 E Fern St Apt 4, Tampa, FL 33610-1609 | 2020-04-14 |
| 1508497694 | Lotus Community Corp | Community/Behavioral Health | 5927 Webb Rd, Tampa, FL 33615-3219 | 2020-01-28 |
| 1457992463 | Elevate To Achieve LLC | Community/Behavioral Health | 1208 E Kennedy Blvd Unit 912, Tampa, FL 33602-3537 | 2019-10-01 |
| 1285281899 | Bridges Behavioral Wellness LLC | Community/Behavioral Health | 2746 N Florida Ave, Tampa, FL 33602-1522 | 2019-08-20 |
| 1487218426 | Alintana LLC | Community/Behavioral Health | 4410 Melton Ave, Tampa, FL 33614-7218 | 2019-04-25 |
| 1679032379 | 5 Star Cares, Inc | Community/Behavioral Health | 1101 Ray Charles Blvd Unit 1505, Tampa, FL 33602-3019 | 2019-03-13 |
| Find all providers in TAMPA | ||||
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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.