Healthcare Provider Details

I. General information

NPI: 1396545364
Provider Name (Legal Business Name): REDEMPTIVE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25695 CAMBRIDGE DR
BEDFORD HTS OH
44146-3136
US

IV. Provider business mailing address

25695 CAMBRIDGE DR
BEDFORD HTS OH
44146-3136
US

V. Phone/Fax

Practice location:
  • Phone: 216-551-2307
  • Fax:
Mailing address:
  • Phone: 216-551-2307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SANTINA L EVANS
Title or Position: DOO
Credential: OWNER
Phone: 216-551-2307