Healthcare Provider Details

I. General information

NPI: 1548909120
Provider Name (Legal Business Name): REDEEM HEALTHCARE & MEDICAL SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3240 BELAIR RD FL 1
BALTIMORE MD
21213-1228
US

IV. Provider business mailing address

917 N CAROLINE ST
BALTIMORE MD
21205-1000
US

V. Phone/Fax

Practice location:
  • Phone: 410-522-1030
  • Fax: 410-522-6060
Mailing address:
  • Phone: 410-522-1030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OSE OKOJIE
Title or Position: OWNER
Credential:
Phone: 410-522-1030