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REM INDIANA NPI 1821121880


NPI Information

NPI: 1821121880
Provider Name: REM INDIANA

Doing Business As: INDIANA MENTOR

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
82 BENNY LN
NORTH VERNON, IN
ZIP 47265
Phone: (812) 346-6858
Get Directions

REM INDIANA is an intermediate care facility mentally retarded in North Vernon, IN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. REM INDIANA NPI is 1821121880. The provider is registered as an organization entity type.
The provider Is Doing Business As Indiana Mentor.

The provider's business location address is:

82 BENNY LN
NORTH VERNON, IN
ZIP 47265-201
Phone: (812) 346-6858

The provider's authorized official is Brett Ian Cohen .
The authorized official title is Coo and has the following contact phone number (800) 388-5150.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 4/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities2524M0045JN04INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200511360OTHERINDIANAPROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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