INDIANA MENTOR
NPI 1043343890
Intermediate Care Facility, Intellectual Disabilities in Indianapolis, IN
About Indiana Mentor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INDIANA MENTOR (NPI 1043343890) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Indianapolis, Indiana and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Brett Ian Cohen, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 15D1032017
Indiana Mentor · Indianapolis, INOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46220
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rem Indiana's NPI number?
The NPI number for Rem Indiana is 1043343890. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Indiana Mentor.
Where is Rem Indiana located?
Rem Indiana is located at 6338 Graham Rd, Indianapolis, IN 46220. The listed phone number is (317) 251-7102.
What is Rem Indiana's specialty?
The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
Does Rem Indiana hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D1032017) is associated with this NPI, valid through October 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Rem Indiana was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Indiana Mentor · NPI 1043343890
Intermediate Care Facility, Intellectual Disabilities organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since March 13, 2007.
## Identity
- **NPI:** 1043343890 (Entity type: Organization)
- **Enumerated:** March 13, 2007
- **Primary specialty:** Intermediate Care Facility, Intellectual Disabilities · taxonomy 315P00000X
- **Legal business name:** Rem Indiana
- **Organization subpart:** No
- **Authorized official:** Brett Cohen, COO
## Practice location
- **Address:** 6338 GRAHAM RD, Indianapolis, IN 46220-4942
- **Phone:** (317) 251-7102
## Record status
- **NPPES last updated:** April 18, 2023
- **Other identifiers:** Other 100244970 (IN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043343890) · Data from the CMS NPPES public registry.