Rem Ohio,Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

0801243 Issued in OH

Legal business name

REM OHIO,INC

Doing business as

REMOhio Fairfield C

Practice address

370 Bickel Church Road
Baltimore, OH 43105

Phone

(614) 367-1370

Fax

(330) 614-3679

NPI assigned

Sep 3, 2008

Last updated

Apr 20, 2023By the provider in NPPES

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 2

Other names 1

• REMOhio Fairfield C Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194973222. Details of each certification follow.

• CCN 36G398 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G398

Legal name

REM OHIO-FAIRFIELD C

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jun 14, 1990

Last certification

Feb 12, 2025

Beds

5

Ownership / control type

Private (proprietary)

Facility address

370 Bickel Church Road
Baltimore, OH 43105

Tax ID family

Rem Ohio Inc37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • North Royalton, OH
  • NPI 1083133805
  NPD tax ID
• Rem Ohio Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Loudonville, OH
  • NPI 1093216681
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Akron, OH
  • NPI 1114319829
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • North Royalton, OH
  • NPI 1174042113
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Girard, OH
  • NPI 1194175448
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mount Vernon, OH
  • NPI 1245689637
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lancaster, OH
  • NPI 1255830212
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lancaster, OH
  • NPI 1275032328
  NPD tax ID
• Rem Ohio Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Loudonville, OH
  • NPI 1285135871
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Mount Vernon, OH
  • NPI 1336566769
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • North Royalton, OH
  • NPI 1356860175
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Geneva, OH
  • NPI 1366189904
  NPD tax ID

Locations

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1194973222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 WHITE POND DRIVE",
            "address_2": "SUITE B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44320",
            "telephone_number": "330-864-5895",
            "fax_number": "330-864-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 BICKEL CHURCH ROAD",
            "city": "BALTIMORE",
            "state": "OH",
            "postal_code": "43105",
            "telephone_number": "614-367-1370",
            "fax_number": "330-614-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM OHIO,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "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": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "0801243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801243",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CERTIFICATION NUMBER",
            "identifier": "36-G398",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REMOhio Fairfield C",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REMOhio Fairfield C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oasis Day Club LLC
• Patrick L Rankin DDS & Assoc LLC
• Lala Renee Porter, RN
• Ricardo Xavier Ramos
• Rem Ohio, Inc
• Ellen K Ridenour, CCC-SLP
• Janette Sohl Rucker, RPH
• Ralph Chistopher Rucker
• Ethan Schmelzer
• Brandee Scott

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Baltimore, OH
• Providers in Baltimore, OH by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.