Rem Ohio Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

REM OHIO INC

Practice address

2767 Tall Oak Cir
Cortland, OH 44410-1768

Phone

(330) 644-5216

NPI assigned

Jun 17, 2016

Last updated

Apr 20, 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

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 1558711804. Details of each certification follow.

• CCN 36G714 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G714

Legal name

REM OHIO/TALL OAK CIRCLE HOME

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Oct 3, 2016

Last certification

Nov 16, 2023

Beds

5

Ownership / control type

Private (proprietary)

Facility address

2767 Tall Oak Circle
Cortland, OH 44410

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.

• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • North Royalton, OH
  • NPI 1083133805
  NPD tax ID
• Rem Ohio Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Loudonville, OH
  • NPI 1093216681
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Akron, OH
  • NPI 1114319829
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • North Royalton, OH
  • NPI 1174042113
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Girard, OH
  • NPI 1194175448
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mount Vernon, OH
  • NPI 1245689637
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lancaster, OH
  • NPI 1255830212
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lancaster, OH
  • NPI 1275032328
  NPD tax ID
• Rem Ohio Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Loudonville, OH
  • NPI 1285135871
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Mount Vernon, OH
  • NPI 1336566769
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • North Royalton, OH
  • NPI 1356860175
  NPD tax ID
• Rem Ohio Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Geneva, OH
  • NPI 1366189904
  NPD tax ID

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1558711804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 PORTAGE LAKES DR STE 206",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443192296",
            "telephone_number": "330-644-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 TALL OAK CIR",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101768",
            "telephone_number": "330-644-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cortland, OH
• Providers in Cortland, OH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.