NPIMap

Organization Active NPI

Rem Iowa, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Cedar Rapids, IA
National Provider Identifier
1003460312
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
REM IOWA, INC.
Practice address
143 16TH Ave SW
Cedar Rapids, IA 52404
Phone
(319) 393-1944
Fax
(319) 393-2091
NPI assigned
Jul 25, 2019
Last updated
Jun 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Patricia Rodenberg-Roberts
Title
VP & Sr Asst General Counsel
Phone
(952) 836-2234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

143 16TH Ave SW
Cedar Rapids, IA 52404

Mailing address

1220 Industrial Ave Ste C
Hiawatha, IA 52233-1118
Phone (319) 393-1944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003460312. Details of each certification follow.

  • CCN 16G982 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 16G982

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REM IOWA - 16TH AVENUE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 8, 2020
Last certification
May 6, 2025
Beds
8
Ownership / control type
Other (specify)
Most recent change of ownership
Jun 14, 2022
Facility address
143 16TH Avenue SW
Cedar Rapids, IA 52404

National Provider Directory

National Provider Directory
Tax ID family
Rem Iowa Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

143 16th Ave SW
Cedar Rapids, IA 52404
Phone (319) 393-1944

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1003460312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 INDUSTRIAL AVE STE C",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331118",
            "telephone_number": "319-393-1944",
            "fax_number": "319-393-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 16TH AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52404",
            "telephone_number": "319-393-1944",
            "fax_number": "319-393-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM IOWA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "RODENBERG-ROBERTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "VP & SR ASST GENERAL COUNSEL",
        "authorized_official_telephone_number": "952-836-2234"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.