Organization Active NPI

Rem-Kiks Group LLC

  • Home Health Agency
  • Decatur, GA
National Provider Identifier
1396890711
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
044-R-0132 Issued in GA
Legal business name
REM-KIKS GROUP LLC
Practice address
3448 Mountain Dr
Decatur, GA 30032-1203
Phone
(404) 294-1995
Fax
(404) 294-1944
NPI assigned
Jan 24, 2007
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Gregory Ojo
Title
Administrator/Ceo
Phone
(404) 294-1995

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 044-R-0132 GA Primary
Home Health Agency 251E00000X
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

3448 Mountain Dr
Decatur, GA 30032-1203

Mailing address

3448 Mountain Dr
Decatur, GA 30032-1203
Phone (404) 294-1995

Other identifiers 6

IdentifierTypeStateIssuer
000922017BMedicaidGA
000922017CMedicaidGA
000922017DMedicaidGA
000922017EMedicaidGA
000922017AMedicaidGA
519005916AMedicaidGA

Other names 3

  • Rem-Kiks Adult Day Care Services Other name
  • Rem-Kiks Adult Day Care Services, Inc Other name
  • Rem-Kiks Health Care Services Other name

National Provider Directory

National Provider Directory

Locations

3448 Mountain Dr
Decatur, GA 30032
Phone (404) 294-1995

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1396890711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 MOUNTAIN DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321203",
            "telephone_number": "404-294-1995",
            "fax_number": "404-294-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 MOUNTAIN DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321203",
            "telephone_number": "404-294-1995",
            "fax_number": "404-294-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM-KIKS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "404-294-1995"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "044-R-0132",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000922017B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000922017C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000922017D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000922017E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000922017A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519005916A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rem-Kiks Adult Day Care Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rem-Kiks Adult Day Care Services, Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rem-Kiks Adult Day Care Services, Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rem-Kiks Health Care Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.