REM INDIANA (NPI# 1750414710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750414710 |
| Entity Type | Organization |
| Organization Name | REM INDIANA |
| Other Organization Name | INDIANA MENTOR |
| Practice Address |
645 E Bridge St Brownstown IN 47220-1557 |
| Mailing Address |
8925 N Meridian St Suite 200 Indianapolis IN 46260-2386 |
| Practice Telephone | 8123582725 |
| 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 | 2524M0047JN04 | 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 II, INC. | 313 Congress St, 5th Floor, Boston, MA 02210 |
| Indiana Business Entities | REM INDIANA COMMUNITY SERVICES, INC. | 313 Congress St, 5th Floor, Boston, MA 02210 |
| Indiana Business Entities | REM INDIANA, INC. | 313 Congress Street, 5th Floor, Boston, MA 02210 |
| Street Address |
645 E BRIDGE ST |
| City | BROWNSTOWN |
| State | IN |
| Zip Code | 47220-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841417276 | Ronnie D Harper | Dentist | 615 W. Commerce St, Brownstown, IN 47220 | 2007-04-19 |
| 1114020849 | Hook Superx LLC | Pharmacy | 415 S Main St Ai, Brownstown, IN 47220 | 2006-09-07 |
| 1952404337 | Indiana Dental Clinic PC | Dentist | 615 W Commerce St, Brownstown, IN 47220 | 2006-09-07 |
| 1255342853 | Joel Lewis Mcgill | General Practice | 213 E Cross St, Brownstown, IN 47220 | 2006-08-10 |
| 1174603344 | Joshua Oryan Howder | Dentist | 615 W Commerce St, Brownstown, IN 47220 | 2006-10-16 |
| 1558436659 | Brownstown Family Medicine,pc | Family Medicine | 806 W Commerce St, Brownstown, IN 47220-1200 | 2006-11-22 |
| 1326125600 | Family Drugs, Inc | Durable Medical Equipment & Medical Supplies | 810 W Commerce St, Brownstown, IN 47220-1200 | 2006-11-01 |
| 1013228360 | Rhonda L Fountain | Nurse Practitioner | 806 W Commerce St, Brownstown, IN 47220-1200 | 2010-07-01 |
| 1801955695 | Julie Ann Branaman | Pharmacist | 810 W Commerce St, Brownstown, IN 47220-1200 | 2006-12-07 |
| 1053421511 | Thomas Scott Roberts | Family Medicine | 210 N Main St., Brownstown, IN 47220-1509 | 2006-08-30 |
| Find all providers in zip 47220 | ||||
| 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 |
|---|---|---|---|---|
| 1689051757 | The Arc of Northeast Indiana, Inc. | Intermediate Care Facility, Mentally Retarded | 4720 Ashland Dr, Fort Wayne, IN 46835-1510 | 2015-04-28 |
| 1710251830 | Rescare Inc. | Intermediate Care Facility, Mentally Retarded | 213 W. Water St., Centerville, IN 47330 | 2012-03-07 |
| 1871866368 | Rescare Inc. | Intermediate Care Facility, Mentally Retarded | 1010 Kellam Road, Centerville, IN 47330 | 2012-02-15 |
| 1215237672 | Pathfinder Services, Inc. | Intermediate Care Facility, Mentally Retarded | 2038 Camden Ct, Huntington, IN 46750-3993 | 2010-11-01 |
| 1396050076 | Pathfinder Services Inc | Intermediate Care Facility, Mentally Retarded | 2033 Duncan Dr, Huntington, IN 46750-4501 | 2010-08-18 |
| 1003052184 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 16609 Sima Gray Rd, Henryville, IN 47126-8626 | 2008-12-19 |
| 1912143009 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 16611 Sima Gray Rd, Henryville, IN 47126-8626 | 2008-12-19 |
| 1649416736 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 16613 Sima Gray Rd, Henryville, IN 47126-8626 | 2008-12-19 |
| 1528213360 | Res-care, Inc. | Intermediate Care Facility, Mentally Retarded | 1306 S Bloomington St, Greencastle, IN 46135-2208 | 2008-11-20 |
| 1316194863 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 4915 Haffner Drive, Fort Wayne, IN 46825-3535 | 2008-08-26 |
| Find all providers with the same taxonomy | ||||
| City | BROWNSTOWN |
| Zip Code | 47220 |
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.