Healthcare Provider Details

I. General information

NPI: 1508619909
Provider Name (Legal Business Name): REDEEMED CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10110 GREENVIEW AVE
GARFIELD HEIGHTS OH
44125-1518
US

IV. Provider business mailing address

16019 WATERLOO RD
CLEVELAND OH
44110-1663
US

V. Phone/Fax

Practice location:
  • Phone: 954-873-9041
  • Fax:
Mailing address:
  • Phone: 216-443-8350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: CARLOS LOUIS
Title or Position: CEO
Credential:
Phone: 954-873-9041