Organization
REM OHIO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
10690 LITHOPOLIS RD NW, CANAL WINCHESTER, OH 43110-8804
(614) 367-1370
(614) 367-9751
Mailing address
470 PORTAGE LAKES DR STE 206, COVENTRY TOWNSHIP, OH 44319-2296
(330) 644-5216
(330) 644-5475
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
OH
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
0801252
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801252
—
OH
01
—
36-G399
CMS CERTIFICATION NUMBER
OH
Enumeration date
09/03/2008
Last updated
04/20/2023
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