Provider Demographics
NPI:1245396696
Name:REM-OHIO, INC.
Entity Type:Organization
Organization Name:REM-OHIO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:IAN
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-388-5150
Mailing Address - Street 1:791 WHITE POND DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-4202
Mailing Address - Country:US
Mailing Address - Phone:330-864-5895
Mailing Address - Fax:330-864-5843
Practice Address - Street 1:791 WHITE POND DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-4202
Practice Address - Country:US
Practice Address - Phone:330-864-5895
Practice Address - Fax:330-864-5843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH23551320600000X
OH23379320600000X
OH24762320600000X
OH25496320600000X
OH25704320600000X
OH24176320600000X
OH22529320600000X
OH24031320600000X
OH24451320600000X
OH7704596320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0830373Medicaid
OH0840077Medicaid
OH0771606Medicaid
OH0801065Medicaid
OH0801243Medicaid
OH0801252Medicaid
OH2213036Medicaid
OH2363820Medicaid
OH2496295Medicaid
OH0770554Medicaid
OH2213036Medicaid
OH36-G382Medicare ID - Type Unspecified
OH36-G565Medicare ID - Type Unspecified
OH2363820Medicaid
OH0801252Medicaid
OH0770554Medicaid
OH2496295Medicaid
OH36-G399Medicare ID - Type Unspecified
OH0801243Medicaid