MEDICARE: RED REEF HEALTHCARE SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	367500000X	Certified Registered Nurse Anesthetist
2	367H00000X	Anesthesiologist Assistant
3	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1730011743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RED REEF HEALTHCARE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	901 S 2ND ST STE 201
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62704-7909
Country	:	US
Telephone Number	:	574-286-2212
Fax Number	:

Provider Business Practice Location Address
First Line	:	812 N LOGAN AVE
Second Line	:
City	:	DANVILLE
State	:	IL
Zip	:	61832-3752
Country	:	US
Telephone Number	:	815-651-9729
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	DR. BRENT RICHARDS
Credential	:
Telephone Number	:	574-286-2212

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “RED REEF HEALTHCARE SOLUTIONS LLC ” Practice Location

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