OrganizationActive
National Mentor Heatlthcare, LLC
NPI 1104238773 · Intellectual Disabilities Intermediate Care Facility · Panama City, FL
Provider details
- NPI number
- 1104238773
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Brett Cohen, Coo(800) 388-5150
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1204 W 13th St
Panama City, FL 32401-2015
Phone: (850) 785-0605
Street-level locationGet directions
Mailing address
313 Congress St
Boston, MA 02210-1218
Other names (DBA / former)
- Doing business as
- Florida Mentor
- Doing business as
- Florida Mentor
Registry dates
- Enumerated
- 2014-05-29
- Last updated
- 2023-03-04
- Certified
- 2023-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.