Organization Active NPI

Rem Ohio, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Akron, OH
National Provider Identifier
1972751204
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
0771606 Issued in OH
Legal business name
REM OHIO, INC
Practice address
3155 Pickle Road
Akron, OH 44312
Phone
(330) 644-9730
Fax
(330) 644-9780
NPI assigned
Aug 28, 2008
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 and/or Developmental Disabilities Residential Treatment Facility 320600000X 0771606 OH Primary

Addresses

Primary practice location

3155 Pickle Road
Akron, OH 44312

Mailing address

791 White Pond Drive
Suite B
Akron, OH 44320
Phone (330) 864-5896

Other identifiers 2

IdentifierTypeStateIssuer
0771606MedicaidOH
36-G382OtherOHCMS CERTIFICATION NUMBER

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 1972751204. Details of each certification follow.

  • CCN 36G382 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G382

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, PICKLE ROAD HOM
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Nov 21, 1989
Last certification
Feb 12, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
3155 Pickle Road
Akron, OH 44312

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

Locations

3155 Pickle Rd
Green, OH 44312
Phone (330) 644-9730

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": "1972751204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 WHITE POND DRIVE",
            "address_2": "SUITE B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44320",
            "telephone_number": "330-864-5896",
            "fax_number": "330-864-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 PICKLE ROAD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44312",
            "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": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "0771606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0771606",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CERTIFICATION NUMBER",
            "identifier": "36-G382",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.