REM SOUTHWEST SERVICES, INC. — NPI 1972678829 (Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in CANBY, MN)

CMS-1500 Box 24J / 33a • NPI

1972678829

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

320900000X

Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Box 32 Service Location & ZIP+4

110 SAINT OLAF AVE N, CANBY, MN, 56220-1372

✓ 9-Digit EDI 837 ZIP+4 (56220-1372)

Practice Phone & Referral Fax

(952) 922-6776

Fax: (952) 922-6885

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972678829 (REM SOUTHWEST SERVICES, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1972678829` (NPI-2 Organization / Facility)
Provider / Legal Name	REM SOUTHWEST SERVICES, INC.
Plain-English Specialty	Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities NUCC Code: `320900000X` (Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	110 SAINT OLAF AVE N, CANBY, MN, 56220-1372
Practice Telephone / Fax	Tel: (952) 922-6776 \| Fax: (952) 922-6885
Administrative Mailing Address	6600 FRANCE AVE S, EDINA, MN, 55435-1805
Enumeration & Last Sync	Enumerated: 2006-11-22 \| CMS Record Updated: 2023-03-05
Authorized Official	BRETT COHEN (COO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

110 SAINT OLAF AVE N, CANBY, MN, 56220-1372

🗺️ Open in Google Maps 🏥 More Providers in CANBY

🔒 Are you REM SOUTHWEST SERVICES, INC.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (320900000X)

What Does Taxonomy Code 320900000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 320900000X translates to:
"Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (REM SOUTHWEST SERVICES, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`320900000X` — Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Plain English: Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	State: MN \| License: `802113-2-WS` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

REM SOUTHWEST SERVICES, INC. (NPI #1972678829)