Rem Indiana

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

2524D0023DE06 Issued in IN

Legal business name

REM INDIANA

Doing business as

Indiana Mentor

Practice address

3031 Kessler Blvd.
Indianapolis, IN 46220

Phone

(317) 254-9079

NPI assigned

Mar 12, 2007

Last updated

Apr 19, 2023By the provider in NPPES

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

Other names 1

• Indiana Mentor Doing business as

Tax ID family

Rem Indiana Inc84 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.

• Rem Indiana

  dba Indiana Mentor

  • Intellectual Disabilities Intermediate Care Facility
  • Indianapolis, IN
  • NPI 1255463493
  NPD tax ID
• Rem Indiana

  dba Indiana Mentor

  • Intellectual Disabilities Intermediate Care Facility
  • Logansport, IN
  • NPI 1275666018
  NPD tax ID
• Rem Indiana

  dba Indiana Mentor

  • Intellectual Disabilities Intermediate Care Facility
  • Indianapolis, IN
  • NPI 1366575144
  NPD tax ID
• Rem Indiana

  dba Indiana Mentor

  • Intellectual Disabilities Intermediate Care Facility
  • Indianapolis, IN
  • NPI 1366575391
  NPD tax ID
• Rem Indiana

  dba Indiana Mentor

  • Intellectual Disabilities Intermediate Care Facility
  • Kokomo, IN
  • NPI 1417089582
  NPD tax ID
• Rem Indiana

  dba Indiana Mentor

  • Intellectual Disabilities Intermediate Care Facility
  • Kokomo, IN
  • NPI 1497887574
  NPD tax ID
• Rem Indiana

  dba Indiana Mentor

  • Intellectual Disabilities Intermediate Care Facility
  • Indianapolis, IN
  • NPI 1528191467
  NPD tax ID
• Rem Indiana, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Greencastle, IN
  • NPI 1245186626
  NPD tax ID
• Rem Indiana, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Greencastle, IN
  • NPI 1255209680
  NPD tax ID
• Rem Indiana, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Jeffersonville, IN
  • NPI 1275401697
  NPD tax ID
• Rem Indiana, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Bedford, IN
  • NPI 1285502609
  NPD tax ID
• Rem Indiana, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • New Albany, IN
  • NPI 1306792882
  NPD tax ID

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1386776391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 KEYSTONE XING STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402148",
            "telephone_number": "317-581-2380",
            "fax_number": "317-581-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 KESSLER BLVD.",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46220",
            "telephone_number": "317-254-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "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": "IN",
            "license": "2524D0023DE06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "100244650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana Mentor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Indiana Mentor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rem Indiana (Indiana Mentor)
• Rem Indiana (Indiana Mentor)
• Rem Indiana (Indiana Mentor)
• Rem Indiana (Indiana Mentor)
• Rem Indiana (Indiana Mentor)
• Rem Indiana (Indiana Mentor)
• Rem Indiana (Indiana Mentor)
• Rem Indiana (Indiana Mentor)
• Rem Indiana (Indiana Mentor)
• Rem Indiana (Indiana Mentor)

• Intellectual Disabilities Intermediate Care Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Intellectual Disabilities Intermediate Care Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.