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REM INDIANA NPI 1154454106


NPI Information

NPI: 1154454106
Provider Name: REM INDIANA

Doing Business As: INDIANA MENTOR

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
860 W 65TH LN
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 736-1389
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REM INDIANA is an intermediate care facility mentally retarded in Merrillville, IN. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. REM INDIANA NPI is 1154454106. The provider is registered as an organization entity type.
The provider Is Doing Business As Indiana Mentor.

The provider's business location address is:

860 W 65TH LN
MERRILLVILLE, IN
ZIP 46410-204
Phone: (219) 736-1389

The provider's authorized official is Pam Verbarg .
The authorized official title is State Director Dd Services and has the following contact phone number (317) 581-2380.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally Retarded2524T0043DE08INDIANAYes

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: 11/14/2023

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