Rem Missouri, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

REM MISSOURI, LLC

Practice address

625 Harris LN
Cameron, MO 64429-1121

Phone

(660) 815-4997

NPI assigned

Apr 16, 2021

Organization subpart

No

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

Authorized official

Name

Rachel Kramer

Title

Executive Director

Phone

(660) 815-4997

Specialties & licenses 1

Addresses

Other names 1

• dba Missouri MENTOR Doing business as

Tax ID family

Dba Missouri Mentor2 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.

• Rem Missouri, LLC

  • Developmental Disabilities Clinic/Center
  • Saint Louis, MO
  • NPI 1962083493
  NPD tax ID

Locations

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1699356113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 HARRIS LN",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644291121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 HARRIS LN",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644291121",
            "telephone_number": "660-815-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-815-4997"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Missouri MENTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan Poplin, LCSW
• Jennifer Lynn Prado, PTA
• Prevention Health Network, LLC
• R P McGraw DDS LLC
• Jacob Randal Rash, MD
• Marjorie Marie Rhoads, D.C. RN
• Lindsay J Rice, MD
• Ashlyn Ridgeway
• Krystal W Rogge
• Ashley Schildknecht, SLP

• Intellectual Disabilities Intermediate Care Facility in Cameron, MO
• Providers in Cameron, MO by specialty
• Intellectual Disabilities Intermediate Care Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.