NPIMap

Organization Active NPI

Rem Iowa, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Coralville, IA
National Provider Identifier
1598827982
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
REM IOWA, INC
Practice address
1985 Holiday Rd
Coralville, IA 52241-1086
Phone
(319) 354-0788
NPI assigned
Dec 14, 2006
Last updated
Jun 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

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

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

1985 Holiday Rd
Coralville, IA 52241-1086

Mailing address

1220 Industrial Ave Ste C
Hiawatha, IA 52233-1118
Phone (319) 393-1944

Other identifiers 2

IdentifierTypeStateIssuer
0880583OtherIAPROVIDER NUMBER
0880583MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598827982. Details of each certification follow.

  • CCN 16G044 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 16G044

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REM IOWA-CORALVILLE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Apr 12, 1990
Last certification
Feb 25, 2025
Beds
8
Ownership / control type
Other (specify)
Most recent change of ownership
Apr 15, 2002
Facility address
1985 Holiday Road
Coralville, IA 52241

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2339608Rem Iowa - Coralville1985 Holiday Rd, Coralville, IA 52241Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
Rem Iowa Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1598827982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 INDUSTRIAL AVE STE C",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331118",
            "telephone_number": "319-393-1944",
            "fax_number": "319-393-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 HOLIDAY RD",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411086",
            "telephone_number": "319-354-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM IOWA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "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": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "0880583",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880583",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.