Indiana Mentor

LBN: Rem Indiana
Indiana Mentor is an health care organization with primary practice located at 124 Blackhawk Ln , Lafayette IN 47906-2019. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Rem Indiana can be contacted via phone (765) 463-2744, or through Cohen, Brett Ian via phone (800) 388-5150.

Contact Information

Primary practice address
124 Blackhawk Ln Lafayette IN 47906-2019
Phone: (765) 463-2744
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cohen, Brett Ian
Phone: (800) 388-5150

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2524I0002DE08 Indiana

Profile Details

NPI number 1740312966
LBN Legal business name Rem Indiana
DBA Doing business as Indiana Mentor
Authorized official Cohen, Brett Ian
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Apr 19th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740312966 NPPES
Indiana Other 100243500 PROVIDER NUMBER

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