REM - SOUTHWEST SERVICES INC (NPI# 1033294699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033294699 |
| Entity Type | Organization |
| Organization Name | REM - SOUTHWEST SERVICES INC |
| Other Organization Name | REM SOUTHWEST SERVICES INC MONTEVIDEO |
| Practice Address |
585 Gravel Road Montevideo MN 56265 |
| Mailing Address |
6600 France Ave S Suite 500 Edina MN 55435-1805 |
| Practice Telephone | 9529226776 |
| Practice Fax Number | 9529226885 |
| Mailing Telephone | 9529226776 |
| Mailing Fax Number | 9529226885 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-07-28 |
| Authorized Official Name | MR. PAT MASYGA (STATE DIRECTOR) |
| Authorized Official Telephone | 9529226776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 8020913RS | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 108743600 | 05 |
| Other Name | Type Code |
|---|---|
| REM Southwest Services Inc Montevideo | Other Name - Individual/Organization |
| Street Address |
585 GRAVEL ROAD |
| City | MONTEVIDEO |
| State | MN |
| Zip Code | 56265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003370495 | Amber Bruns | Behavioral Analyst | 2419 Washington Ave., Montevideo, MN 56265 | 2019-01-30 |
| 1124405857 | Jenna Susanne Marquardt | Dental Therapist | 209 South 1st Street, Montevideo, MN 56265 | 2015-05-01 |
| 1952554974 | West Central Smiles Pa | Dentist | 123 1/2 N. First St., Montevideo, MN 56265 | 2008-11-04 |
| 1114086188 | Lisa Joy Decathelineau | Marriage & Family Therapist | 1234 Mn-7, Montevideo, MN 56265 | 2006-12-06 |
| 1952492035 | James Kevin Zenk | Dentist | 1317 Grove Ave, Montevideo, MN 56265 | 2006-09-27 |
| 1366420820 | Caroline Moniza | Psychologist | 2419 Washington Ave, Montevideo, MN 56265 | 2006-01-05 |
| 1164428496 | Gina Louise Kontz | Audiologist-Hearing Aid Fitter | 408 N 1st St Ste 2, Montevideo, MN 56265 | 2005-06-22 |
| 1083175442 | Swwc Service Cooperatives | Early Intervention Provider Agency | 2419 Washington Ave, Montevideo, MN 56265 | 2019-03-28 |
| 1679053110 | Hearing Care By Gina LLC | Audiologist | 408 N 1st St Ste 2, Montevideo, MN 56265 | 2018-08-15 |
| 1467985010 | Renee Larson | Dental Therapist | 209 South 1st Street, Montevideo, MN 56265 | 2017-04-10 |
| Find all providers in zip 56265 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922502418 | Harry Meyering Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2050 Haughton Ave, North Mankato, MN 56003-1416 | 2018-03-20 |
| 1114385085 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 11754 191 1/2 Ave Nw, Elk River, MN 55330-1367 | 2016-02-05 |
| 1255797718 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 497 Gates Ave Nw, Elk River, MN 55330-2633 | 2016-01-13 |
| 1891195608 | Prairie Community Services | Intermediate Care Facility, Mentally Retarded | 2203 Rolling Green Ln, North Mankato, MN 56003-4459 | 2014-08-28 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1801228937 | Rem River Bluffs, Inc. Pinewood | Intermediate Care Facility, Mentally Retarded | 2631 Pinewood Ridge Dr Se, Rochester, MN 55904-6227 | 2013-07-31 |
| 1205111770 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 975 Lakewood Drive, Maplewood, MN 55119 | 2011-10-17 |
| 1306171939 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 797 Mayhill Rd N, Maplewood, MN 55119-3828 | 2009-10-15 |
| 1003073487 | Harmony Homes of Minnesota LLC | Intermediate Care Facility, Mentally Retarded | 7935 Drake Rd, Woodbury, MN 55125-1446 | 2008-05-22 |
| 1508033580 | Allendale House | Intermediate Care Facility, Mentally Retarded | 3108 Highway 52 N, Rochester, MN 55901-1916 | 2008-05-09 |
| Find all providers with the same taxonomy | ||||
| City | MONTEVIDEO |
| Zip Code | 56265 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.