1. Home
  2. Directory
  3. Minnesota
  4. Minnetonka
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

REM HENNEPIN INC MINNETONKA
NPI 1700961398
Intermediate Care Facility, Intellectual Disabilities in Minnetonka, MN

Active since October 25, 2006CLIA 24D1095383 · Waiver
21 WESTWOOD ROAD, MINNETONKA, MN 55305(952) 922-6776(952) 922-6885 Get Directions Write a Review

NPPES record last updated: March 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2023, Dec 21, 2022 (2 updates tracked since 2022).

About Rem Hennepin Inc Minnetonka NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REM HENNEPIN INC MINNETONKA (NPI 1700961398) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Minnetonka, Minnesota and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1700961398
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameREM HENNEPIN INC
Location Address21 WESTWOOD ROADMinnetonka, MN 55305
Mailing Address6600 France Ave SEdina, MN 55435-1805 · (952) 922-6776 · Fax (952) 922-6885
Phone(952) 922-6776
Fax(952) 922-6885
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateOctober 25, 2006
Last NPPES UpdateMarch 4, 20232 updates tracked since enumeration
NPPES CertifiedMarch 4, 2023
✔ NPI 1700961398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in MN · 8020903RS
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
21 WESTWOOD ROAD, Minnetonka, MN 55305
Open in Google Maps ↗

Other Names 1

Other NameRem Hennepin Inc Minnetonka

Other Identifiers 1

Medicaid300745600MN

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 24D1095383

Rem Hennepin - Minnetonka · Minnetonka, MN
Active · expires Feb 5, 2027
CLIA Number24D1095383
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorCourtney E. Motylinski
Laboratory Phone(952) 541-9421
Laboratory LocationRem Hennepin - Minnetonka21 Westwood Road, Minnetonka, MN 55305
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Hennepin Inc's NPI number?

The NPI number for Rem Hennepin Inc is 1700961398. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is also known as Rem Hennepin Inc Minnetonka.

Where is Rem Hennepin Inc located?

Rem Hennepin Inc is located at 21 Westwood Road, Minnetonka, MN 55305. The listed phone number is (952) 922-6776.

What is Rem Hennepin Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Rem Hennepin Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1095383) is associated with this NPI, valid through February 5, 2027. 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 Hennepin Inc was last updated on March 4, 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.