Organization Active NPI

National Mentor Healthcare

  • Community/Behavioral Health Agency
  • Sarasota, FL
National Provider Identifier
1275844680
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
ISW5663 Issued in FL
Legal business name
NATIONAL MENTOR HEALTHCARE
Practice address
2055 Wood St
Suite 118
Sarasota, FL 34237-7903
Phone
(941) 955-2593
Fax
(941) 955-2684
NPI assigned
Jun 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jon Fisher
Title
State Director
Phone
(941) 955-2593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X ISW5663 FL Primary

Addresses

Primary practice location

2055 Wood St
Suite 118
Sarasota, FL 34237-7903

Mailing address

2055 Wood St
Suite 118
Sarasota, FL 34237-7903
Phone (941) 955-2593

Other names 1

  • Florida MENTOR Doing business as

National Provider Directory

National Provider Directory

Locations

2055 Wood St
Ste 118
Sarasota, FL 34237
Phone (941) 955-2593

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1275844680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 WOOD ST",
            "address_2": "SUITE 118",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342377903",
            "telephone_number": "941-955-2593",
            "fax_number": "941-955-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 WOOD ST",
            "address_2": "SUITE 118",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342377903",
            "telephone_number": "941-955-2593",
            "fax_number": "941-955-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MENTOR HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "STATE DIRECTOR",
        "authorized_official_telephone_number": "941-955-2593",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "ISW5663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida MENTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.