Rem Indiana
Intermediate Care Facility, Intellectual Disabilities in Indianapolis, IN. Organization (NPI-2).
Details
- NPI
- 1114059441
- Entity type
- Organization (NPI-2)
- Legal business name
- Rem Indiana
- Organization subpart
- No
- Enumeration date
- Mar 12, 2007
- Certification date
- Apr 18, 2023
- Last updated
- Apr 18, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 2524I0020JN08 | IN | Yes |
Other names
- Indiana Mentor (Doing Business As)
Practice location
3606 Highwoods Dr NIndianapolis, IN 46222-1828
Phone 317-923-3964
Mailing address
9000 Keystone Xing Ste 200Indianapolis, IN 46240-2148
Phone 317-581-2380
Authorized official
Brett Ian Cohen
Coo
8003885150
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 79 Intellectual Disabilities Intermediate Care Facility providers in Indianapolis · All 38,312 providers in Indianapolis
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