Organization Active NPI

Rem Missouri, LLC

  • Developmental Disabilities Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1962083493
Registry record updated Jul 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
REM MISSOURI, LLC
Practice address
11872 Westline Industrial Dr Ste 100
Saint Louis, MO 63146-3331
Phone
(660) 815-4997
NPI assigned
Apr 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2023

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

11872 Westline Industrial Dr Ste 100
Saint Louis, MO 63146-3331

Mailing address

11872 Westline Industrial Dr Ste 100
Saint Louis, MO 63146-3331

Other names 1

  • dba Missouri MENTOR Doing business as

National Provider Directory

National Provider Directory
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.

Locations

11872 Westline Industrial Dr
Ste 100
Saint Louis, MO 63146
Phone (314) 991-7944

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688774400000",
    "number": "1962083493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11872 WESTLINE INDUSTRIAL DR STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11872 WESTLINE INDUSTRIAL DR STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463331",
            "telephone_number": "660-815-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "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": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Missouri MENTOR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "dba Missouri MENTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; 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.