Rem Indiana
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Indianapolis, IN
NPI 1043343890 · NPPES record last updated Apr 18, 2023
Key facts
- NPI
- 1043343890
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 2524I0031DE08 (IN)
- Legal business name
- REM INDIANA
- Practice address
- 6338 Graham Rd
Indianapolis, IN 46220-4942 - Phone
- (317) 251-7102
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Brett Ian Cohen
- Title
- Coo
- Phone
- (800) 388-5150
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Rem Indiana Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 2524I0031DE08 | IN | Yes |
Addresses
Primary practice location
6338 Graham Rd
Indianapolis, IN 46220-4942
Mailing address
9000 Keystone Xing Ste 200
Indianapolis, IN 46240-2148
Phone (317) 581-2380
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100244970 | Other | IN | PROVIDER NUMBER |
Other names
- Indiana Mentor
Other providers in Indianapolis, IN
- Reliable Psychiatry LLC
- Reliant Nurse Practitioner Services
- Ryan F Relich
- Beverly A Rella
- Relymd Medical Group in, LLC
- Rem Indiana
- Rem Indiana
- Rem Indiana
- Rem Indiana
- Rem Indiana
All providers in Indianapolis, IN · Intellectual Disabilities Intermediate Care Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.