NATIONAL MENTOR HEALTHCARE


Address: 1285 Flamingo Dr, Lantana, FL 33462-1507
Phone: 5615330555

NATIONAL MENTOR HEALTHCARE (NPI# 1639220619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639220619
Entity Type Organization
Organization Name NATIONAL MENTOR HEALTHCARE
Practice Address 1285 Flamingo Dr
Lantana
FL 33462-1507
Mailing Address 1285 Flamingo Drive
Lantana
FL 33462-1507
Practice Telephone 5615330555
Mailing Telephone 5615330555
Enumeration Date 2007-01-16
Last Update Date 2020-08-22
Authorized Official Name MR. WALTER W. KUETHMAN (REGIONAL DIRECTOR)
Authorized Official Telephone 5615330555
Authorized Official Credential MA-BCABA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4023096 FL Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1245494178 National Mentor Healthcare Residential Treatment Facility, Physical Disabilities 15032 N 37th Ave, Phoenix, AZ 85053 2008-07-10
1861607186 National Mentor Healthcare Case Management 4150 Freidrich Ln Bldg N, Suite G, Austin, TX 78744-1800 2007-05-11
1114070752 National Mentor Healthcare Day Training, Developmentally Disabled Services 2700 N 3rd St Ste 4000, Phoenix, AZ 85004-1173 2007-01-18
1639524606 National Mentor Healthcare Residential Treatment Facility, Emotionally Disturbed Children 80 Cottontail Ln, Ste 330, Somerset, NJ 08873-1100 2016-04-27
1093088510 National Mentor Healthcare Case Management 4150 Freidrich Ln Bldg N, Suite G, Austin, TX 78744-1800 2012-02-14
1851604599 National Mentor Healthcare Community/Behavioral Health 7 Oak Branch Dr Ste C, Greensboro, NC 27407-2392 2010-07-23
1275844680 National Mentor Healthcare Community/Behavioral Health 2055 Wood St, Suite 118, Sarasota, FL 34237-7903 2010-06-30
1083730477 National Mentor Healthcare Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 80 Cottontail Ln, Suite 330, Somerset, NJ 08873-1100 2007-03-21

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities National Mentor HealthCare Inc. 313 Congress Street, Boston, Massachusetts 02210
North Carolina Corporations National Mentor Healthcare Inc. 2 South Salisbury Street, Raleigh, NC 27601
Virginia Business Entities National Mentor Healthcare LLC The Mentor Network, 313 Congress St 5th Fl, Boston, Massachusetts 02210
Indiana Business Entities NATIONAL MENTOR HEALTHCARE, INC. 313 Congress St, Boston, MA 02210
Oklahoma Business Registrations NATIONAL MENTOR HEALTHCARE, INC. 313 Congress St, Boston, MA 02210
Oklahoma Business Registrations NATIONAL MENTOR HEALTHCARE, LLC 313 Congress St., Boston, MA 02210
Indiana Business Entities NATIONAL MENTOR HEALTHCARE, LLC 313 Congress St, 5th Floor, Boston, MA 02210

Office Location

Street Address 1285 FLAMINGO DR
City LANTANA
State FL
Zip Code 33462-1507

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104449503 Brightlife Institute, LLC Clinic/Center 2315 Shimmery Lane, Lake Worth, FL 33462 2020-05-20
1760024988 Woodelyne Marc Home Health 1307 Flamingo Dr, Lantan, FL 33462 2019-10-09
1336624428 Jennifer Lynn Jones Nurse Practitioner 5401 S Congress Ave Ste 105, Atlantis, FL 33462 2018-09-25
1427548445 Publix Super Markets, Inc. Pharmacy 262 S Ocean Blvd, Manalapan, FL 33462 2018-05-15
1629567474 Perfection Rx LLC Pharmacy 3248 Lantana Rd, Lake Worth, FL 33462 2018-05-08
1942797824 Mayra Alejandra Tovar Castro Student in an Organized Health Care Education/Training Program 180 Jfk Drive, Suite 210, Atlantis, FL 33462 2018-04-17
1285131169 Samar Ibrahim Mohamed Huss Aboulenain Student in an Organized Health Care Education/Training Program 180 Jfk Drive, Suite 210, Atlantis, FL 33462 2018-04-09
1801392535 Carla Ortega Student in an Organized Health Care Education/Training Program 180 Jkf Drive, Suite 210, Atlantis, FL 33462 2018-04-02
1811427438 Sonia Camille Behavior Technician 49 Sioux Ln, Lantana, FL 33462 2017-06-15
1922536648 Alyzza De La Uz Forte Nurse Practitioner 180 John F Kennedy Dr, 311, Atlantis, FL 33462 2017-05-25
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891396461 Hillendale Cares LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 27357 Frampton Ave, Brooksville, FL 34602-7306 2020-11-02
1699375485 Violange Joseph Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3310 Sw Frankford St, Port St Lucie, FL 34953-4937 2020-10-29
1407468986 Winchester Oaks Corporation Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 871 Winchester St, Daytona Beach, FL 32114-1977 2020-08-17
1609486844 Aclaris Care Home, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 7711 N Rome Ave, Tampa, FL 33604-4615 2020-08-03
1386253987 Rosa Estela Companioni Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6704 Commodore Way, Tampa, FL 33615-5810 2020-07-29
1972121192 Victorian Manor, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 11150 Sw 42nd Ct, Davie, FL 33328-2140 2020-07-14
1881233716 Elizabeth Stapleton Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4628 25th St Sw, Lehigh Acres, FL 33973-6161 2019-12-23
1689217887 Angelchild Homecare Corp Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1641 Sunset Point Rd, Clearwater, FL 33755-1657 2019-10-21
1659927325 Coby Cares Corporation Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1754 Barnstable Rd, Wellington, FL 33414-6143 2019-08-17
1518520725 Freshen Schammua Docile Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 9097 Sw 4th St, Boca Raton, FL 33433-4607 2019-04-15
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Competitor

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City LANTANA
Zip Code 33462

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Dataset Information

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.

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