Active NPI
Rescare, Inc
- Community/Behavioral Health Agency
- Keokuk, IA
National Provider Identifier
1730353020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CMHC
- Legal business name
- RESCARE, INC
- Doing business as
- Lee Co. Comm., MHS
- Practice address
- 3882 Main St
Ste # 1
Keokuk, IA 52632-2066 - Phone
- (319) 524-5106
- Fax
- (319) 524-3090
- NPI assigned
- Apr 17, 2008
- 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
- Rod Hotek, CEO
- Title
- Ceo
- Phone
- (641) 472-1684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CMHC | IA | Primary |
Addresses
Primary practice location
3882 Main St
Ste # 1
Keokuk, IA 52632-2066
Mailing address
301 W Burlington Ave
Fairfield, IA 52556-3242
Phone (641) 472-1684
Other names 1
- Lee Co. Comm., MHS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031120000270 | IA | Part B Supplier - Clinic/Group Practice | 8022912211 |
Receives reassigned benefits from 37 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Indianola, IA; Iowa City, IA; Keokuk, IA; Keosauqua, IA; Knoxville, IA; Marshalltown, IA; Mount Pleasant, IA; Newton, IA… |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Behavioral Health Agency
- Fairfield, IA
- NPI 1174520084
O20031120000270
-
- Community/Behavioral Health Agency
- Muscatine, IA
- NPI 1184898470
O20031120000270
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208390400000",
"number": "1730353020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W BURLINGTON AVE",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525563242",
"telephone_number": "641-472-1684",
"fax_number": "641-472-4609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3882 MAIN ST",
"address_2": "STE # 1",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526322066",
"telephone_number": "319-524-5106",
"fax_number": "319-524-3090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESCARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-17",
"last_updated": "2008-04-17",
"status": "A",
"authorized_official_last_name": "HOTEK",
"authorized_official_first_name": "ROD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "641-472-1684",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IA",
"license": "CMHC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lee Co. Comm., MHS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Keokuk, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.