NPIMap

Organization Active NPI

Rem WV, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Morgantown, WV
National Provider Identifier
1306962030
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
REM WV, INC.
Practice address
904 Curtis Ave
Morgantown, WV 26501-7027
Phone
(304) 296-5304
Fax
(304) 296-1202
NPI assigned
Mar 22, 2007
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 Disabilities Intermediate Care Facility 315P00000X WV Primary

Addresses

Primary practice location

904 Curtis Ave
Morgantown, WV 26501-7027

Mailing address

748 McMechen St
Benwood, WV 26031-1100
Phone (304) 233-2141

Other identifiers 1

IdentifierTypeStateIssuer
0003549010MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Rem West Virginia LLC59 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

904 Curtis Ave
Morgantown, WV 26501
Phone (304) 296-5304

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1306962030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 MCMECHEN ST",
            "city": "BENWOOD",
            "state": "WV",
            "postal_code": "260311100",
            "telephone_number": "304-233-2141",
            "fax_number": "304-233-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CURTIS AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265017027",
            "telephone_number": "304-296-5304",
            "fax_number": "304-296-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM WV, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "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": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003549010",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.