Healthcare Provider Details

I. General information

NPI: 1427976505
Provider Name (Legal Business Name): REDSTONE NEMT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 OBERLIN RD N
WILMINGTON NC
28411-5202
US

IV. Provider business mailing address

1319 MILITARY CUTOFF RD STE CC196
WILMINGTON NC
28405-3174
US

V. Phone/Fax

Practice location:
  • Phone: 678-414-2753
  • Fax:
Mailing address:
  • Phone: 678-414-2753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: CHARLES L BAKER
Title or Position: OWNER
Credential:
Phone: 678-414-2753