NPIMap

Organization Active NPI

Rem Hennepin, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Brooklyn Center, MN
National Provider Identifier
1194980037
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
802096-3-RS Issued in MN
Legal business name
REM HENNEPIN, INC.
Practice address
6200 Shingle Creek Pkwy Ste 580
Brooklyn Center, MN 55430-2170
Phone
(763) 852-5325
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 802096-3-RS MN Primary

Addresses

Primary practice location

6200 Shingle Creek Pkwy Ste 580
Brooklyn Center, MN 55430-2170

Mailing address

6600 France Ave S
Edina, MN 55435-1805
Phone (952) 922-6776

Other identifiers 1

IdentifierTypeStateIssuer
802096-3-RSMedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Rem Hennepin Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677888000000",
    "number": "1194980037",
    "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": "6200 SHINGLE CREEK PKWY STE 580",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302170",
            "telephone_number": "763-852-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM HENNEPIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "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": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "802096-3-RS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "802096-3-RS",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.