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REM MISSOURI LLC NPI 1962083493


NPI Information

NPI: 1962083493
Provider Name: REM MISSOURI, LLC

Doing Business As: DBA MISSOURI MENTOR

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
11872 WESTLINE INDUSTRIAL DR STE 100
SAINT LOUIS, MO
ZIP 63146
Phone: (660) 815-4997
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REM MISSOURI, LLC is a developmental disabilities clinic center in Saint Louis, MO. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). REM MISSOURI, LLC NPI is 1962083493. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dba Missouri Mentor.

The provider's business location address is:

11872 WESTLINE INDUSTRIAL DR STE 100
SAINT LOUIS, MO
ZIP 63146-331
Phone: (660) 815-4997

The provider's authorized official is Rachel Kramer .
The authorized official title is Executive Director and has the following contact phone number (660) 815-4997.

The enumeration date for this NPI number is 4/16/2021 and was last updated on 7/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior AnalystNo
2106S00000XBehavior TechnicianNo
3106E00000XAssistant Behavior AnalystNo
4261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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