Active NPI
Rem Indiana, Inc.
- Intellectual Disabilities Intermediate Care Facility
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- REM INDIANA, INC.
- Practice address
- 6025 Buckskin CT
Indianapolis, IN 46250-1831 - Phone
- (317) 845-9803
- NPI assigned
- Mar 7, 2026
- Last updated
- Mar 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Patricia Rodenberg-Roberts
- Title
- VP & Sr Asst General Counsel
- Phone
- (952) 836-2234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
6025 Buckskin CT
Indianapolis, IN 46250-1831
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Phone (800) 388-5150
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 1508712985. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 15G465
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 Indiana
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Apr 27, 1989
- Last certification
- Oct 21, 2025
- Beds
- 8
- Ownership / control type
- Private (proprietary)
- Facility address
- 6025 Buckskin CT
Indianapolis, IN 46250
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2096046 | Rem Indiana Inc / Buckskin CRT | Certificate of waiver | May 13, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Rem Indiana Inc
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.
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Indianapolis, IN
- NPI 1366575391
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Indianapolis, IN
- NPI 1386776391
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Kokomo, IN
- NPI 1417089582
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Kokomo, IN
- NPI 1497887574
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Indianapolis, IN
- NPI 1528191467
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Indianapolis, IN
- NPI 1609909449
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Carmel, IN
- NPI 1609909456
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Indianapolis, IN
- NPI 1629100805
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Peru, IN
- NPI 1639201718
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Lafayette, IN
- NPI 1659404622
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Carmel, IN
- NPI 1669504809
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Indianapolis, IN
- NPI 1669504858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772841600000",
"number": "1508712985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 FRANCE AVE S STE 350",
"city": "EDINA",
"state": "MN",
"postal_code": "554351810",
"telephone_number": "800-388-5150",
"fax_number": "952-922-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 BUCKSKIN CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462501831",
"telephone_number": "317-845-9803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REM INDIANA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-07",
"last_updated": "2026-03-07",
"certification_date": "2026-03-07",
"status": "A",
"authorized_official_last_name": "RODENBERG-ROBERTS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "VP & SR ASST GENERAL COUNSEL",
"authorized_official_telephone_number": "952-836-2234"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.