Rem Iowa Community Services, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

REM IOWA COMMUNITY SERVICES, INC

Practice address

100 E Kimberly Rd Ste 603
Davenport, IA 52806-5924

Phone

(563) 445-0724

Fax

(563) 445-8441

NPI assigned

Dec 14, 2006

Last updated

Jun 23, 2024By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Tax ID family

Rem Iowa Community Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Rem Iowa Community Services, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Council Bluffs, IA
  • NPI 1447312780
  NPD tax ID
• Rem Iowa Community Services, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Keokuk, IA
  • NPI 1811032949
  NPD tax ID
• Rem Iowa Community Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hiawatha, IA
  • NPI 1902968266
  NPD tax ID

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1386706638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 INDUSTRIAL AVE STE COFFICE",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331118",
            "telephone_number": "319-294-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E KIMBERLY RD STE 603",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065924",
            "telephone_number": "563-445-0724",
            "fax_number": "563-445-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM IOWA COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-06-23",
        "certification_date": "2024-03-21",
        "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119198",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Reinhart
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• Anastasia Elizabeth Remley, M.S., CCC-SLP
• Renee D Lass
• Renewal Health Services PLLC
• Renewed Therapeutics LLC
• Haley Marie Resnick, PA-S

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Davenport, IA
• Providers in Davenport, IA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; 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.