Organization
NATIONAL MENTOR HEALTHCARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
3615 HODGES BLVD, JACKSONVILLE, FL 32224-1288
(904) 223-4173
(904) 223-5611
Mailing address
3615 HODGES BLVD, JACKSONVILLE, FL 32224-1288
(904) 223-4173
(904) 223-5611
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
4034096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312592 00
—
FL
Enumeration date
12/19/2006
Last updated
03/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us