Rem Minnesota Community Services, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

1018670-2-WS Issued in MN

Legal business name

REM MINNESOTA COMMUNITY SERVICES, INC.

Practice address

15025 Glazier Ave Ste 246
Apple Valley, MN 55124-6188

Phone

(952) 852-9590

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Brett Ian Cohen

Title

Coo

Phone

(800) 388-5150

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Rem Minnesota Community Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Rem Minnesota Community Services, Inc.

  • Assisted Living Facility (Mental Illness)
  • Apple Valley, MN
  • NPI 1245540541
  NPD tax ID
• Rem Minnesota Community Services, Inc.

  • Community/Behavioral Health Agency
  • Apple Valley, MN
  • NPI 1811179922
  NPD tax ID

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677974400000",
    "number": "1043385420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351805",
            "telephone_number": "952-922-6776",
            "fax_number": "952-922-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15025 GLAZIER AVE STE 246",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246188",
            "telephone_number": "952-852-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM MINNESOTA COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-388-5150"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": "1018670-2-WS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494824600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reflex Staffing
• Lindsey K Reichert, LADC
• Caitlin Reikowski Moore, MA, LPCC
• Mackenzie Lily Reing, PA-C
• Bridget T Relander, LMT MASSAGE THERPIST
• Rem Minnesota Community Services, Inc.
• Rem Minnesota Community Services, Inc.
• William Jay Reuland
• Happy Reynolds, M.D.
• Miranda Rich

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; 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.