Florida Mentor II LLC
NPI 1962009019ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Fort Walton Beach, FL
Intermediate Care Facility, Intellectual Disabilities in Fort Walton Beach, Florida, registered in NPPES in October 2020, part of Florida Mentor II LLC. The authorized official on file is Carol Swanson, Vice President Of Operations.
Overview
| NPI | 1962009019 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Florida Mentor II LLC |
| NPI issued | Oct 1, 2020 |
| Last updated in NPPES | Nov 18, 2020 |
| Certified by provider | Nov 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|