REM INDIANA (NPI# 1932232915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932232915 |
| Entity Type | Organization |
| Organization Name | REM INDIANA |
| Other Organization Name | INDIANA MENTOR |
| Practice Address |
3938 Prange Dr Lafayette IN 47905-4166 |
| Mailing Address |
8925 N Meridian St Suite 200 Indianapolis IN 46260-2386 |
| Practice Telephone | 7654473705 |
| 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 | 2524I0021DE08 | 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 |
| 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 |
| 1366575144 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 5662 Crestview, Indianapolis, IN 46220 | 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 |
| Street Address |
3938 PRANGE DR |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| 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 |
|---|---|---|---|---|
| 1659595411 | Wabash Center, Inc. | Intermediate Care Facility, Mentally Retarded | 744 S 26th St, Lafayette, IN 47904-3360 | 2007-04-12 |
| 1043434806 | Wabash Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2305 Central St, Lafayette, IN 47905-1676 | 2007-04-12 |
| 1659404622 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 926 S 10th St, Lafayette, IN 47905-1406 | 2007-03-13 |
| 1144352352 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 1221 Warren Dr, Lafayette, IN 47905-2122 | 2007-03-12 |
| 1740312966 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 124 Blackhawk Ln, Lafayette, IN 47906-2019 | 2007-03-12 |
| 1497821169 | Normal Life of Lafayette, Inc. | Intermediate Care Facility, Mentally Retarded | 216 La Rue France, Suite A, Lafayette, LA 70508-3104 | 2006-11-27 |
| 1831264928 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 529 Saint John St, Lafayette, LA 70501-5709 | 2006-11-22 |
| 1245415355 | Normal Life of Lafayette | Intermediate Care Facility, Mentally Retarded | 216 La Rue France, Suite A, Lafayette, LA 70508-3104 | 2008-01-08 |
| 1548443633 | Normal Life of Lafayette, Inc. | Intermediate Care Facility, Mentally Retarded | 216 La Rue France, Suite A, Lafayette, LA 70508-3104 | 2007-12-11 |
| 1609090067 | Wabash Center, Inc. | Intermediate Care Facility, Mentally Retarded | 411 Park Ave, Lafayette, IN 47904-3233 | 2007-04-13 |
| Find all providers in LAFAYETTE | ||||
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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.