Rem Woodvale, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CERTIFICATION ONLY Issued in MN

Legal business name

REM WOODVALE, INC.

Practice address

1836 S Cedar Ave
Owatonna, MN 55060-4204

Phone

(507) 451-1296

NPI assigned

Mar 19, 2007

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 1

Tax ID family

Rem Woodvale Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Rem Woodvale, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Owatonna, MN
  • NPI 1417011263
  NPD tax ID

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677974400000",
    "number": "1386768703",
    "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": "952-925-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 S CEDAR AVE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604204",
            "telephone_number": "507-451-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM WOODVALE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "CERTIFICATION ONLY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440069100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rand Recovery Homes, LLC
• Katie G Randall
• Redeeming Mind
• Nicholas Scott Reich
• Anthony D Reigel
• Rem Woodvale, Inc.
• Gia Rendon, PA-C
• Renewal Oasis Wellness Center P.C.
• London Ray Repke, CMT
• Rachel Suzanne Repke, CMT

• Community/Behavioral Health Agency in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.