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REDEMPTION RECOVERY GROUP LLC NPI 1548047921


NPI Information

NPI: 1548047921
Provider Name: REDEMPTION RECOVERY GROUP LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 36D2289829

Address:
2281 VILLAGE MALL DR UNIT 3
ONTARIO, OH
ZIP 44906
Phone: (904) 755-4997
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REDEMPTION RECOVERY GROUP LLC is a substance abuse rehabilitation facility in Ontario, OH. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. REDEMPTION RECOVERY GROUP LLC NPI is 1548047921. The provider is registered as an organization entity type.

The provider's business location address is:

2281 VILLAGE MALL DR UNIT 3
ONTARIO, OH
ZIP 44906-153
Phone: (904) 755-4997
Fax: (772) 873-9997

The provider's authorized official is Rex Taylor .
The authorized official title is Ceo and has the following contact phone number (904) 755-4997.

The CLIA number assigned to this NPI record is 36D2289829 - other - outpatient sud treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2023 and was last updated on 9/11/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

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: 5/5/2024

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