FLORIDA MENTOR II LLC NPI 1093322794

NPI Information

NPI: 1093322794
Provider Name: FLORIDA MENTOR II LLC

Doing Business As: HILLSBOROUGH COUNTY DEVELOPMENTAL CENTER

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

Address:
14219 BRUCE B DOWNS BLVD
TAMPA, FL
ZIP 33613
Phone: (813) 971-3490
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FLORIDA MENTOR II LLC is an intermediate care facility mentally retarded in Tampa, FL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. FLORIDA MENTOR II LLC NPI is 1093322794. The provider is registered as an organization entity type.
The provider Is Doing Business As Hillsborough County Developmental Center.

The provider's business location address is:

14219 BRUCE B DOWNS BLVD
TAMPA, FL
ZIP 33613-913
Phone: (813) 971-3490
Fax: (813) 977-3471

The provider's authorized official is Carol Swanson .
The authorized official title is Vice President Of Operations and has the following contact phone number (813) 389-8300.

The CLIA number assigned to this NPI record is 10D1017168 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2020 and was last updated on 11/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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