Organization Active NPI

Rem Iowa Community Services, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Keokuk, IA
National Provider Identifier
1811032949
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
REM IOWA COMMUNITY SERVICES, INC
Practice address
402 Main St
Keokuk, IA 52632-5446
Phone
(319) 393-1944
Fax
(319) 393-2091
NPI assigned
Feb 20, 2007
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 and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

402 Main St
Keokuk, IA 52632-5446

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0735308MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Rem Iowa Community Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

402 Main St
Keokuk, IA 52632
Phone (319) 393-1944

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1811032949",
    "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": "402 MAIN ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526325446",
            "telephone_number": "319-393-1944",
            "fax_number": "319-393-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM IOWA COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0735308",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 23, 2024; 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.