Active NPI
Rem Iowa Community Services, Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Keokuk, IA
National Provider Identifier
1811032949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0735308 | Medicaid | IA |
National Provider Directory
National Provider Directory- Tax ID family
- Rem Iowa Community Services Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Davenport, IA
- NPI 1386706638
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Council Bluffs, IA
- NPI 1447312780
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Hiawatha, IA
- NPI 1902968266
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.