NPIMap

Organization Active NPI

Rem Heartland Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Madelia, MN
National Provider Identifier
1902981590
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
8020832RS Issued in MN
Legal business name
REM HEARTLAND INC
Practice address
226 Drew Avenue SE
Madelia, MN 56062
Phone
(952) 922-6776
Fax
(952) 922-6885
NPI assigned
Oct 25, 2006
Last updated
Mar 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 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 8020832RS MN Primary

Addresses

Primary practice location

226 Drew Avenue SE
Madelia, MN 56062

Mailing address

6600 France Ave S
Edina, MN 55435-1805
Phone (952) 922-6776

Other identifiers 1

IdentifierTypeStateIssuer
841045300MedicaidMN

Other names 1

  • REM Heartland Inc Madelia Other name

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 1902981590. Details of each certification follow.

  • CCN 24G396 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 24G396

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 HEARTLAND INC MADELIA
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Apr 29, 1983
Last certification
Sep 3, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
226 Drew Ave SE
Madelia, MN 56062

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2090947Rem Heartland, Inc Madelia226 Drew Ave SE, Madelia, MN 56062Certificate of waiverFeb 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Rem Heartland Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

226 Drew Ave SE
Madelia, MN 56062

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677974400000",
    "number": "1902981590",
    "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": "226 DREW AVENUE SE",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "56062",
            "telephone_number": "952-922-6776",
            "fax_number": "952-922-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM HEARTLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "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": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "8020832RS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841045300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REM Heartland Inc Madelia",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "REM Heartland Inc Madelia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madelia, MN

Sources for this page

Verify at the official NPI Registry.