The Mentor Network
NPI 1972856011ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Daytona Beach, FL
Intermediate Care Facility, Intellectual Disabilities in Daytona Beach, Florida, registered in NPPES in October 2012. The authorized official on file is Brett Ian Cohen, Coo.
Overview
| NPI | 1972856011 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2012 |
| Last updated in NPPES | Mar 19, 2023 |
| Certified by provider | Mar 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | 4021095 | FL |
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 |
|---|
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