REM INDIANA COMMUNITY SERVICE II, INC. (NPI# 1932233764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932233764 |
| Entity Type | Organization |
| Organization Name | REM INDIANA COMMUNITY SERVICE II, INC. |
| Other Organization Name | INDANA MENTOR |
| Practice Address |
8925 N Meridian St Suite 200 Indianapolis IN 46260-2386 |
| Practice Telephone | 3175812380 |
| Practice Fax Number | 3175812378 |
| Mailing Telephone | 3175812380 |
| Mailing Fax Number | 3175812378 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MR. DAN MOHNKE (STATE DIRECTOR) |
| Authorized Official Telephone | 3175812380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200300350 | IN | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200300350 | 05 |
| Other Name | Type Code |
|---|---|
| Indana Mentor | Other Name - Individual/Organization |
| Street Address |
8925 N MERIDIAN ST SUITE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168158 | Nurses and More, Inc. | Home Health | 8925 N Meridian St, Suite 110, Indianapolis, IN 46260-2384 | 2005-07-15 |
| 1467706788 | National Mentor Healthcare, LLC | Custodial Care Facility | 8925 N Meridian St, Suite 200, Indianapolis, IN 46260-2386 | 2012-11-08 |
| 1730464579 | Erica S Reichert | Counselor | 8925 N Meridian St, Suite 250, Indianapolis, IN 46260-2386 | 2011-10-12 |
| 1598045403 | Sarah F Wickman | Social Worker | 8925 N Meridian St, 250, Indianapolis, IN 46260-2386 | 2011-08-23 |
| 1093027179 | Mentor Healthcare LLC | Community/Behavioral Health | 8925 N Meridian St, Suite 250, Indianapolis, IN 46260-2386 | 2010-07-06 |
| 1801107941 | National Mentor Healthcare LLC | Foster Care Agency | 8925 N Meridian St, Ste. 250, Indianapolis, IN 46260-2386 | 2010-06-23 |
| 1588985493 | Indiana Mentor | Case Management | 8925 N Meridian St, Suite 250, Indianapolis, IN 46260-2386 | 2010-06-15 |
| 1124349048 | Indiana Mentor | Foster Care Agency | 8925 N Meridian St, Suite 250, Indianapolis, IN 46260-2386 | 2010-06-15 |
| 1871730028 | Patricia Sue Anderson | Nurse Practitioner | 8925 N Meridian St, Suite100, Indianapolis, IN 46260-2386 | 2009-01-09 |
| 1518112366 | Melissa Dawn Louthain | Nurse Practitioner | 8925 N Meridian St, Suite 150, Indianapolis, IN 46260-2386 | 2008-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750851192 | Stimuli Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6670 Kinnerton Dr, Indianapolis, IN 46254-5843 | 2018-11-28 |
| 1659847168 | Assured Residential and Consulting, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5555 N Tacoma Ave Ste 101, Indianapolis, IN 46220-3551 | 2018-10-23 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1497144042 | Jennifer Whitlow | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6710 Waverhill Dr, Indianapolis, IN 46217-9101 | 2015-01-21 |
| 1659677839 | Sycamore Rehab Services/hendricks Co. Arc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 W Hanna Ave, Indianapolis, IN 46217-5102 | 2011-02-04 |
| 1528375896 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10129 Penrith Dr, Indianapolis, IN 46229-1397 | 2010-09-08 |
| 1063728723 | National Mentor Healthcare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6705 E 49th St, Indianapolis, IN 46226-2549 | 2010-08-19 |
| 1982910675 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9740 E 21st St, Indianapolis, IN 46229-1708 | 2010-08-19 |
| 1396051009 | National Mentor Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5754 Twin River Ln, Indianapolis, IN 46239-5802 | 2010-08-19 |
| 1750538427 | Roger Lee Higgins Jr. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6104 W Lake South Dr, Apt A, Indianapolis, IN 46224-7647 | 2008-08-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.