Active NPI
Rem-Kiks Group LLC
- Home Health Agency
- Decatur, GA
National Provider Identifier
1396890711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 044-R-0132
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000922017B | Medicaid | GA | |
| 000922017C | Medicaid | GA | |
| 000922017D | Medicaid | GA | |
| 000922017E | Medicaid | GA | |
| 000922017A | Medicaid | GA | |
| 519005916A | Medicaid | GA |
Other names 3
- Rem-Kiks Adult Day Care Services
- Rem-Kiks Adult Day Care Services, Inc
- Rem-Kiks Health Care Services
National Provider Directory
National Provider DirectoryLocations
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"
}
]
}
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- Reliant Home Care LLC
- Rem-Kiks Hospice Services, LLC
- Amanda C Rembert, DNP, APRN, FNP-BC
- Ren Massey, PH.D., Inc.
- Renaissance Counseling Services,LLC
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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.