Organization Active NPI

Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mount Vernon, OH
National Provider Identifier
1245689637
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
REM OHIO INC
Practice address
1124 Beech St
Mount Vernon, OH 43050-1344
Phone
(330) 644-5216
NPI assigned
Jun 7, 2016
Last updated
Apr 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 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 and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1124 Beech St
Mount Vernon, OH 43050-1344

Mailing address

470 Portage Lakes Dr
Suite 206
Akron, OH 44319-2290
Phone (330) 644-5216

Other identifiers 1

IdentifierTypeStateIssuer
0086182MedicaidOH

Medicare participation

Medicare enrollment files
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 1245689637. Details of each certification follow.

  • CCN 36G711 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G711

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REM OHIO BEECH STREET
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Oct 20, 2016
Last certification
Oct 21, 2025
Beds
5
Ownership / control type
Private (proprietary)
Facility address
1124 Beech Street
Mount Vernon, OH 43050

National Provider Directory

National Provider Directory
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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1245689637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 PORTAGE LAKES DR",
            "address_2": "SUITE 206",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443192290",
            "telephone_number": "330-644-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 BEECH ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501344",
            "telephone_number": "330-644-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

Verify at the official NPI Registry.