Organization Active NPI

Remygold Support Services LLC

  • Recovery Care Clinic/Center
  • Brooklyn Park, MN
National Provider Identifier
1497550735
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
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

Updated by the provider on Feb 19, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Remygold Recuperative Services2 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": "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.

Verify at the official NPI Registry.