Rem Central Lakes, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REM CENTRAL LAKES, INC.

Practice address

1401 1St St NE
Sartell, MN 56377-2468

Phone

(320) 259-6022

NPI assigned

Nov 21, 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 Central Lakes Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Rem Central Lakes, Inc.

  • Assisted Living Facility (Mental Illness)
  • Sartell, MN
  • NPI 1689974693
  NPD tax ID
• Rem Central Lakes, Inc.

  • Community/Behavioral Health Agency
  • Sartell, MN
  • NPI 1740304187
  NPD tax ID
• Rem Central Lakes, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sartell, MN
  • NPI 1831264290
  NPD tax ID

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677888000000",
    "number": "1578744322",
    "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": "952-922-6776",
            "fax_number": "952-922-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 1ST ST NE",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772468",
            "telephone_number": "320-259-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM CENTRAL LAKES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047415000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdirahman Rayale
• Regional Diagnostic Radiology
• Christopher Richard Reigstad, LICSW
• Blaire Meagan Reilly
• Relax and Recover Massage LLC
• Rem Central Lakes, Inc.
• Rem Central Lakes, Inc.
• Rem Central Lakes, Inc.
• Restoration Counseling & Family Services
• Brianna Reuter

• Community/Behavioral Health Agency in Sartell, MN
• Providers in Sartell, 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 4, 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.