{"npi":"1386706638","type":"NPI-2","status":"active","name":{"display":"Rem Iowa Community Services, INC","other":[],"organization_name":"REM IOWA COMMUNITY SERVICES, INC","authorised_official":"Mary Rodenberg-Roberts"},"specialty":{"primary_taxonomy":"320900000X","primary_taxonomy_description":"Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility","slug":"intellectual-and-or-developmental-disabilities-community-based-residential-treatment-facility","schema_org_specialty":null,"all":[{"code":"320900000X","description":"Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"100 E KIMBERLY RD STE 603","city":"DAVENPORT","state":"IA","postal_code":"528065924","country_code":"US","phone":"5634450724","fax":"5634458441"},{"purpose":"MAILING","street_1":"1220 INDUSTRIAL AVE STE COFFICE","city":"HIAWATHA","state":"IA","postal_code":"522331118","country_code":"US","phone":"3192940264"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0119198","state":"IA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-12-14","last_updated":"2024-06-23","_meta":{"source":"NPPES","snapshot_date":"2024-06-23","doc_url":"https://findmynpi.com/api"}}