REM INDIANA (NPI# 1528191467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528191467 |
| Entity Type | Organization |
| Organization Name | REM INDIANA |
| Other Organization Name | INDIANA MENTOR |
| Practice Address |
3025 Green Hills Lane Indianapolis IN 46222 |
| Mailing Address |
8925 N Meridian St Suite 200 Indianapolis IN 46260-2386 |
| Practice Telephone | 3179255951 |
| Mailing Telephone | 3175812380 |
| Mailing Fax Number | 3175812378 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAM VERBARG (STATE DIRECTOR DD SERVICES) |
| Authorized Official Telephone | 3175812380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 2524I0039JN08 | IN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Indiana Mentor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821121880 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 82 Benny Ln, North Vernon, IN 47265-9201 | 2007-03-13 |
| 1154454106 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 860 W 65th Ln, Merrillville, IN 46410-3204 | 2007-03-13 |
| 1659404622 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 926 S 10th St, Lafayette, IN 47905-1406 | 2007-03-13 |
| 1740313774 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 102 Oaktree Ct, Logansport, IN 46947-4115 | 2007-03-13 |
| 1225161078 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 1926 W 75th Pl, Indianapolis, IN 46260-3118 | 2007-03-13 |
| 1841323698 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 3107 Hensel Dr, Carmel, IN 46033-3906 | 2007-03-13 |
| 1891828844 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 3142 E 62nd Pl, Hobart, IN 46342-6444 | 2007-03-13 |
| 1932232915 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 3938 Prange Dr, Lafayette, IN 47905-4166 | 2007-03-13 |
| 1235262155 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 4002 Moller Rd, Indianapolis, IN 46254-2934 | 2007-03-13 |
| 1609909449 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 5625 E 56th St, Indianapolis, IN 46226-1523 | 2007-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | REM INDIANA COMMUNITY SERVICES, INC. | 313 Congress St, 5th Floor, Boston, MA 02210 |
| Street Address |
3025 GREEN HILLS LANE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194472 | Megan Mccullough | Pharmacist | 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 | 2020-11-02 |
| 1215401450 | Resilient Services | Counselor | 3519 W Michigan Street, Indianapolis, IN 46222 | 2019-01-21 |
| 1376925487 | Ossama Elbarawy | Dentist | 2410 W. 17th St, Indianapolis, IN 46222 | 2015-06-25 |
| 1780025163 | Suzy Q Service Cororation | Chore Provider | 2401 N Tibbs Ave, Indianapolis, IN 46222 | 2013-07-12 |
| 1952607939 | Monica Lee Mcmullen | Dietitian, Registered | 2732 West Michigan St., Westside Health Center, Indianapolis, IN 46222 | 2011-02-08 |
| 1306082318 | Jose Fanor Melendez | Psychiatry & Neurology | 3422 N. Taft Av, Indianapolis, IN 46222 | 2008-12-22 |
| 1861693277 | David Hazra | Preventive Medicine | 340 S. White River Parkway, Indianapolis, IN 46222 | 2007-05-31 |
| 1366589467 | Indianapolis Osteopathic Hospital Inc. | Podiatrist | 3520 Guion Rd Suite 204, Indianapolis, IN 46222 | 2007-01-30 |
| 1508919077 | Ronald L. Gemma | Family Medicine | 3750 Guion Rd., Ste. 185, Indianapolis, IN 46222 | 2007-01-19 |
| 1588729164 | Martin R Salazar | Dentist | 2001 Weat Washington St., Ste B2, Indianapolis, IN 46222 | 2006-12-26 |
| Find all providers in zip 46222 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (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. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912170044 | Res-care, Inc. | Intermediate Care Facility, Mentally Retarded | 8041 Knue Rd, Bldg 16, Indianapolis, IN 46250-1920 | 2008-04-09 |
| 1013036540 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 7520 Kilmer Ln, Indianapolis, IN 46256-1632 | 2007-03-28 |
| 1578682001 | Rescare Inc | Intermediate Care Facility, Mentally Retarded | 8217 Lieber Rd, Indianapolis, IN 46260-2840 | 2007-03-28 |
| 1427177948 | Rescare Inc | Intermediate Care Facility, Mentally Retarded | 1330 Shawnee Rd, Indianapolis, IN 46260-4077 | 2007-03-28 |
| 1164541587 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 1222 N Bolton Ave, Indianapolis, IN 46219-3156 | 2007-03-28 |
| 1912026444 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 8044 Dartmouth Rd, Indianapolis, IN 46260-2807 | 2007-03-28 |
| 1104945633 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 8211 Christiana Ln, Indianapolis, IN 46256-3413 | 2007-03-28 |
| 1073632493 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3111 N Richardt Ave, Indianapolis, IN 46226-6342 | 2007-03-28 |
| 1295854727 | Voca Corporation of Indiana | Intermediate Care Facility, Mentally Retarded | 8307 Castleton Blvd, Indianapolis, IN 46256-3563 | 2007-03-28 |
| 1902924608 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 810 Noble St, Indianapolis, IN 46203-1732 | 2007-03-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46222 |
Please comment or provide details below to improve the information on REM INDIANA.
| 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.