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REM HENNEPIN INC

Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.

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Contact Information

REM HENNEPIN INC
21 WESTWOOD ROAD
MINNETONKA, MN  55305
 Phone: 952-922-6776
 Fax: 952-922-6885
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

 315P00000X
Indicates primary specialty

NPI Profile & details for REM HENNEPIN INC

NPI Number 1700961398
LBN Legal business name REM HENNEPIN INC
Authorized official BRETT COHEN - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 03/04/2023 - About 3 years ago
Identifiers
MN License # 8020903RS
MN Medicaid 300745600
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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