Active NPI
Remygold Support Services LLC
- Recovery Care Clinic/Center
- Brooklyn Park, MN
National Provider Identifier
1497550735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recovery Care Clinic/Center
- Legal business name
- REMYGOLD SUPPORT SERVICES LLC
- Practice address
- 1301 88TH Ave N
Brooklyn Park, MN 55444-1328 - Phone
- (612) 203-7168
- NPI assigned
- Feb 19, 2025
- 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
- Sukurat Oparemi, MD
- Title
- Director
- Phone
- (612) 203-7168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recovery Care Clinic/Center | 261QR0800X | Primary |
Addresses
Primary practice location
1301 88TH Ave N
Brooklyn Park, MN 55444-1328
Mailing address
9503 Dogwood Ave N
Brooklyn Park, MN 55443-1564
Phone (612) 203-7168
Other names 1
- RemyGold Recuperative Services
National Provider Directory
National Provider Directory- Tax ID family
- Remygold Recuperative Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Brooklyn Park, MN
- NPI 1952113144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739923200000",
"number": "1497550735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9503 DOGWOOD AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554431564",
"telephone_number": "612-203-7168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 88TH AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554441328",
"telephone_number": "612-203-7168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REMYGOLD SUPPORT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-19",
"certification_date": "2025-02-18",
"status": "A",
"authorized_official_last_name": "OPAREMI",
"authorized_official_first_name": "SUKURAT",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "612-203-7168",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RemyGold Recuperative Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.