REM HEARTLAND, INC. (NPI# 1477854289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477854289 |
| Entity Type | Organization |
| Organization Name | REM HEARTLAND, INC. |
| Other Organization Name | REM HEARTLAND, INC. ODYSSEY |
| Practice Address |
1205 Victoria St Fairmont MN 56031-4453 |
| Mailing Address |
6600 France Ave S Suite 500 Edina MN 55435-1805 |
| Practice Telephone | 9529226776 |
| Practice Fax Number | 9529226885 |
| Mailing Telephone | 9529226776 |
| Mailing Fax Number | 9529226885 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |
| Authorized Official Name | MRS. CONNIE MENNE (STATE DIRECTOR) |
| Authorized Official Telephone | 9529226776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
803838-2-WS | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | CERTIFICATE OF REGISTRACTION MN DEPARTMENT OF HEALTH | UNKNOWN | 01 |
| MN | 803838-2-WS | 05 |
| Other Name | Type Code |
|---|---|
| REM Heartland, Inc. Odyssey | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154496008 | Rem Heartland, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Dorothy St, Fairmont, MN 56031-3508 | 2006-11-22 |
| Street Address |
1205 VICTORIA ST |
| City | FAIRMONT |
| State | MN |
| Zip Code | 56031-4453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097025 | David Robert Rynders | Counselor | 301 Downtown Plaza, #3, Fairmont, MN 56031 | 2009-03-11 |
| 1992902449 | Wal-mart Stores, Inc. | Technician/Technologist | 1250 Goemann Road, Fairmont, MN 56031 | 2007-06-28 |
| 1417099813 | Thomas Joe Larson | Dentist | 800 Clinic Circle, Fairmont, MN 56031 | 2007-02-13 |
| 1912076795 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 111 Dorothy Street, Fairmont, MN 56031 | 2006-11-07 |
| 1750466322 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 107 Dorothy Street, Fairmont, MN 56031 | 2006-10-25 |
| 1588744155 | Kerri Lynn Henderson | Chiropractor | 115 1/2 West Blue Earth Ave, Fairmont, MN 56031 | 2006-10-17 |
| 1427142199 | Maurice Lee Shoen | Counselor | 115 West First St, Fairmont, MN 56031 | 2006-10-03 |
| 1538253703 | Nathan Craig Jorgenson | Dentist | 717 South State Street, Suite 600, Fairmont, MN 56031 | 2006-10-03 |
| 1942311154 | Leon James Rochovitz | Optometrist | 288 S State Street, Five Lakes Centre, Fairmont, MN 56031 | 2006-08-31 |
| 1215903414 | Mayo Clinic Hospital-rochester | Clinic/Center | 835 Johnson Street, Fairmont, MN 56031 | 2006-02-27 |
| Find all providers in zip 56031 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380683 | Gabby Care Homes LLC | Assisted Living Facility | 1513 Pennsylvania Ave N, Champlin, MN 55316-2016 | 2020-09-15 |
| 1982214607 | Parkview Manor Inc | Assisted Living Facility | 5802 Bass Lake Rd, Crystal, MN 55429-2749 | 2020-08-06 |
| 1578171518 | New Horizon Assisted Living LLC | Assisted Living Facility | 5916 71st Ave N, Brooklyn Park, MN 55429-1005 | 2020-07-15 |
| 1720609621 | Home Joy Home Care, Inc. | Assisted Living Facility | 7632 83rd Ave N, Brooklyn Park, MN 55445-2247 | 2020-05-01 |
| 1689211666 | Gabby Care Homes LLC | Assisted Living Facility | 1500 Pennsylvania Ave N, Champlin, MN 55316-2017 | 2019-12-09 |
| 1659871507 | Progressive Home Health Care, Inc. | Assisted Living Facility | 2933 11th Ave S, Minneapolis, MN 55407-1314 | 2018-02-16 |
| 1841651916 | Wellness Homes Inc. | Assisted Living Facility | 214 E 19th St, Apt 301, Minneapolis, MN 55403-3963 | 2016-03-16 |
| 1487995791 | Rose Haven | Assisted Living Facility | 37 6th St Se, Menahga, MN 56464-3157 | 2013-03-12 |
| 1881954964 | Rem Arrowhead, Inc. | Assisted Living Facility | 214 7th St, Cloquet, MN 55720-1805 | 2012-05-22 |
| 1689974693 | Rem Central Lakes, Inc. | Assisted Living Facility | 200 8th St Se, Little Falls, MN 56345-3252 | 2010-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.