Organization Active NPI

Rem Ohio, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Barberton, OH
National Provider Identifier
1780832014
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
0770554 Issued in OH
Legal business name
REM OHIO, INC
Practice address
3561 Potts Drive
Barberton, OH 44203
Phone
(330) 644-9730
Fax
(330) 644-9780
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 0770554 OH Primary

Addresses

Primary practice location

3561 Potts Drive
Barberton, OH 44203

Mailing address

470 Portage Lakes Dr Ste 206
Coventry Township, OH 44319-2296
Phone (330) 644-5216

Other identifiers 2

IdentifierTypeStateIssuer
0770554MedicaidOH
36-G369OtherOHCMS CERTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G369

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-OHIO, INC, POTTS DRIVE HOM
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 17, 1989
Last certification
Dec 10, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
3561 Potts Drive
Barberton, OH 44203

National Provider Directory

National Provider Directory
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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1780832014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 PORTAGE LAKES DR STE 206",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443192296",
            "telephone_number": "330-644-5216",
            "fax_number": "330-644-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3561 POTTS DRIVE",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "44203",
            "telephone_number": "330-644-9730",
            "fax_number": "330-644-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM OHIO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "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": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "0770554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0770554",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CERTIFICATION NUMBER",
            "identifier": "36-G369",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.