Healthcare Provider Details

I. General information

NPI: 1699896316
Provider Name (Legal Business Name): REM COMMUNITY OPTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

748 MCMECHEN ST
BENWOOD WV
26031-1100
US

IV. Provider business mailing address

748 MCMECHEN ST
BENWOOD WV
26031-1100
US

V. Phone/Fax

Practice location:
  • Phone: 304-233-2141
  • Fax: 304-233-3558
Mailing address:
  • Phone: 304-233-2141
  • Fax: 304-233-3558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateWV

VIII. Authorized Official

Name: BRETT IAN COHEN
Title or Position: COO
Credential:
Phone: 800-388-5150