NPIMap

Organization Active NPI

Rem WV, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Wheeling, WV
National Provider Identifier
1831215615
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
REM WV, INC.
Practice address
1501 Flynn Ave
Wheeling, WV 26003-6383
Phone
(304) 242-9330
Fax
(304) 242-4255
NPI assigned
Mar 22, 2007
Last updated
Apr 20, 2023By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X WV Primary

Addresses

Primary practice location

1501 Flynn Ave
Wheeling, WV 26003-6383

Mailing address

748 McMechen St
Benwood, WV 26031-1100
Phone (304) 233-2141

Other identifiers 1

IdentifierTypeStateIssuer
0003549007MedicaidWV

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 1831215615. Details of each certification follow.

  • CCN 51G057 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 51G057

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 WV, INC., FLYNN AVENUE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Nov 29, 1990
Last certification
Apr 3, 2025
Beds
8
Ownership / control type
Private (proprietary)
Facility address
1501 Flynn Avenue
Wheeling, WV 26003

National Provider Directory

National Provider Directory
Tax ID family
Rem West Virginia LLC59 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1831215615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 MCMECHEN ST",
            "city": "BENWOOD",
            "state": "WV",
            "postal_code": "260311100",
            "telephone_number": "304-233-2141",
            "fax_number": "304-233-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 FLYNN AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036383",
            "telephone_number": "304-242-9330",
            "fax_number": "304-242-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM WV, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "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": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003549007",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.