Organization Active NPI

Rural Employment Alternatives, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Conroy, IA
National Provider Identifier
1063538338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
RURAL EMPLOYMENT ALTERNATIVES, INC.
Practice address
495 4TH Ave
Conroy, IA 52220
Phone
(319) 662-4043
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeannine Scandridge
Title
Executive Director
Phone
(319) 662-4043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

495 4TH Ave
Conroy, IA 52220

Mailing address

495 4TH Ave
PO Box 24
Conroy, IA 52220
Phone (319) 662-4043

Other identifiers 2

IdentifierTypeStateIssuer
0448530MedicaidIA
0136218MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Rural Employment Alternatives Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063538338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 4TH AVE",
            "address_2": "PO BOX 24",
            "city": "CONROY",
            "state": "IA",
            "postal_code": "52220",
            "telephone_number": "319-662-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 4TH AVE",
            "city": "CONROY",
            "state": "IA",
            "postal_code": "52220",
            "telephone_number": "319-662-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL EMPLOYMENT ALTERNATIVES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCANDRIDGE",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-662-4043"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448530",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136218",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroy, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.