Active NPI
Rem Indiana
Doing business as Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Indianapolis, IN
National Provider Identifier
1801929682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 2524I0015JN08
- Legal business name
- REM INDIANA
- Doing business as
- Indiana Mentor
- Practice address
- 2113 E. Kessler
Indianapolis, IN 46220 - Phone
- (317) 254-9079
- NPI assigned
- Mar 13, 2007
- Last updated
- Apr 19, 2023
- 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
- Brett Ian Cohen
- Title
- Coo
- Phone
- (800) 388-5150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 2524I0015JN08 | IN | Primary |
Addresses
Primary practice location
2113 E. Kessler
Indianapolis, IN 46220
Mailing address
9000 Keystone Xing Ste 200
Indianapolis, IN 46240-2148
Phone (317) 581-2380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100249310 | Other | IN | PROVIDER NUMBER |
Other names 1
- Indiana Mentor
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 1801929682. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 15G407
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 INC
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Jun 22, 1988
- Last certification
- Oct 10, 2025
- Beds
- 8
- Ownership / control type
- Private (proprietary)
- Facility address
- 2113 E Kessler Blvd
Indianapolis, IN 46220
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
- Lafayette, IN
- NPI 1740312966
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Logansport, IN
- NPI 1740313774
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Brownstown, IN
- NPI 1750414710
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Greensburg, IN
- NPI 1780717744
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Carmel, IN
- NPI 1821121856
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- North Vernon, IN
- NPI 1821121880
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Carmel, IN
- NPI 1841323698
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Hobart, IN
- NPI 1891828844
-
dba Indiana Mentor
- Intellectual Disabilities Intermediate Care Facility
- Lafayette, IN
- NPI 1932232915
-
- Intellectual Disabilities Intermediate Care Facility
- Paoli, IN
- NPI 1689542003
-
- Intellectual Disabilities Intermediate Care Facility
- Indianapolis, IN
- NPI 1699621078
-
- Intellectual Disabilities Intermediate Care Facility
- Indianapolis, IN
- NPI 1699643015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681862400000",
"number": "1801929682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 KEYSTONE XING STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462402148",
"telephone_number": "317-581-2380",
"fax_number": "317-581-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2113 E. KESSLER",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46220",
"telephone_number": "317-254-9079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REM INDIANA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"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": "IN",
"license": "2524I0015JN08",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "100249310",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Indiana Mentor",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Indiana Mentor",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Indianapolis, IN
- Rem Indiana (Indiana Mentor)
- Rem Indiana (Indiana Mentor)
- Rem Indiana (Indiana Mentor)
- Rem Indiana (Indiana Mentor)
- Rem Indiana (Indiana Mentor)
- Rem Indiana (Indiana Mentor)
- Rem Indiana Community Service II, Inc.
- Rem Indiana Community Services
- Rem Indiana Community Services (Indiana Mentor)
- Rem Indiana, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.