Active NPI
Rem Arrowhead, Inc.
- Assisted Living Facility (Mental Illness)
- Duluth, MN
National Provider Identifier
1881954964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- Legal business name
- REM ARROWHEAD, INC.
- Practice address
- 1330 E Superior St Ste 201
Duluth, MN 55805-3929 - Phone
- (218) 720-2995
- NPI assigned
- May 22, 2012
- Last updated
- Mar 5, 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 |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | Primary |
Addresses
Primary practice location
1330 E Superior St Ste 201
Duluth, MN 55805-3929
Mailing address
6600 France Ave S
Edina, MN 55435-1805
Phone (952) 563-2207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 358135, 358133, 3581 | Other | MN | HOUSING WITH SERVICES CERTIFICATE OF REGISTRATION |
National Provider Directory
National Provider Directory- Tax ID family
- Rem Arrowhead Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Duluth, MN
- NPI 1598830895
Locations
1330 E Superior St
Ste 201
Duluth, MN 55805
Phone (218) 720-2995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677974400000",
"number": "1881954964",
"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": "952-563-2207",
"fax_number": "952-922-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 E SUPERIOR ST STE 201",
"city": "DULUTH",
"state": "MN",
"postal_code": "558053929",
"telephone_number": "218-720-2995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REM ARROWHEAD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-22",
"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": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOUSING WITH SERVICES CERTIFICATE OF REGISTRATION",
"identifier": "358135, 358133, 3581",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- 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.