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REM INDIANA NPI 1740312966


NPI Information

NPI: 1740312966
Provider Name: REM INDIANA

Doing Business As: INDIANA MENTOR

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
124 BLACKHAWK LN
LAFAYETTE, IN
ZIP 47906
Phone: (765) 463-2744
Get Directions

REM INDIANA is an intermediate care facility mentally retarded in Lafayette, IN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. REM INDIANA NPI is 1740312966. The provider is registered as an organization entity type.
The provider Is Doing Business As Indiana Mentor.

The provider's business location address is:

124 BLACKHAWK LN
LAFAYETTE, IN
ZIP 47906-019
Phone: (765) 463-2744

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 3/12/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual Disabilities2524I0002DE08INDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100243500OTHERINDIANAPROVIDER 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: 4/28/2024

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