THE REDCO GROUP LLC. NPI 1689894636

NPI Information

NPI: 1689894636
Provider Name: THE REDCO GROUP, LLC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
97 BIRD LN
MILTON, PA
ZIP 17847
Phone: (570) 524-5154
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THE REDCO GROUP, LLC. is an intermediate care facility mentally retarded in Milton, PA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. THE REDCO GROUP, LLC. NPI is 1689894636. The provider is registered as an organization entity type.

The provider's business location address is:

97 BIRD LN
MILTON, PA
ZIP 17847-413
Phone: (570) 524-5154

The provider's authorized official is Tim Sohosky .
The authorized official title is C.o.o. and has the following contact phone number (570) 628-5215.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/28/2019.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1000017170213	MEDICAID	PENNSYLVANIA

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

NPI Synchronization or Removal

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