Rem Arrowhead, Inc.

Primary specialty

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

License

1012289-2-WS Issued in MN

Legal business name

REM ARROWHEAD, INC.

Practice address

1330 E Superior St
Suite 201
Duluth, MN 55805-3854

Phone

(952) 922-6776

Fax

(952) 922-6885

NPI assigned

Nov 21, 2006

Last updated

Mar 5, 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

Tax ID family

Rem Arrowhead 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 Arrowhead, Inc.

  • Assisted Living Facility (Mental Illness)
  • Duluth, MN
  • NPI 1881954964
  NPD tax ID

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677974400000",
    "number": "1598830895",
    "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": "1330 E SUPERIOR ST",
            "address_2": "SUITE 201",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558053854",
            "telephone_number": "952-922-6776",
            "fax_number": "952-922-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM ARROWHEAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": "1012289-2-WS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509110100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Robert Reisdorf
• Sarah Pauline Reitmeier, L.I.C.S.W.
• Shelby L Reitmeier, LICSW
• Relf Optical LTD
• Susan J Relf, MD
• Rem Arrowhead, Inc.
• Paul R Remark, LCP
• Nelida Rempkowski, PTA
• Renew TMS PC (Oak Tree TMS)
• Lenore Rosemary Rengel, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Duluth, MN
• Providers in Duluth, MN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 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.