Healthcare Provider Details

I. General information

NPI: 1144712217
Provider Name (Legal Business Name): REDEEM HEALTHCARE & MEDICAL SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2018
Last Update Date: 09/13/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 N CAROLINE ST
BALTIMORE MD
21205-1000
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:
Mailing address:
  • Phone: 410-522-1030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: OSE KINGSLEY OKOJIE
Title or Position: PRESIDENT
Credential:
Phone: 410-282-7500