Healthcare Provider Details

I. General information

NPI: 1730011743
Provider Name (Legal Business Name): RED REEF HEALTHCARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 N LOGAN AVE
DANVILLE IL
61832-3752
US

IV. Provider business mailing address

901 S 2ND ST STE 201
SPRINGFIELD IL
62704-7909
US

V. Phone/Fax

Practice location:
  • Phone: 815-651-9729
  • Fax:
Mailing address:
  • Phone: 574-286-2212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. BRENT RICHARDS
Title or Position: CFO
Credential:
Phone: 574-286-2212