Organization Active NPI

Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Geneva, OH
National Provider Identifier
1366189904
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
1070 Millwood Dr
Geneva, OH 44041-7787
Phone
(330) 644-5216
NPI assigned
May 16, 2022
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 NU Primary

Addresses

Primary practice location

1070 Millwood Dr
Geneva, OH 44041-7787

Mailing address

470 Portage Lakes Dr
Coventry Township, OH 44319-2290
Phone (330) 644-5216

Other identifiers 1

IdentifierTypeStateIssuer
7704596MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 1070Millwood

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 1366189904. Details of each certification follow.

  • CCN 36G765 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G765

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 MILLWOOD DRIVE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jul 1, 2022
Last certification
Dec 1, 2025
Beds
8
Ownership / control type
Private (proprietary)
Facility address
1070 Millwood Drive
Geneva, OH 44041

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": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1366189904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 PORTAGE LAKES DR",
            "city": "COVENTRY TOWNSHIP",
            "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": "1070 MILLWOOD DR",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440417787",
            "telephone_number": "330-644-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704596",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1070Millwood",
            "affiliation": "N",
            "address_1": "1070 Millwood Dr",
            "city": "Geneva",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440417787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Geneva, OH

Sources for this page

Verify at the official NPI Registry.