NPIMap

Organization Active NPI

Redwood School and Rehabilitation Center

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Ft Mitchell, KY
National Provider Identifier
1003966748
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
REDWOOD SCHOOL AND REHABILITATION CENTER
Practice address
71 Orphanage Rd
Ft Mitchell, KY 41017-3006
Phone
(859) 331-0880
Fax
(855) 704-1573
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Pam Green
Title
Ceo
Phone
(859) 331-0880

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Medically Fragile Infants and Children Day Care 261QM3000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

71 Orphanage Rd
Ft Mitchell, KY 41017-3006

Mailing address

71 Orphanage Rd
Ft Mitchell, KY 41017-3006
Phone (859) 331-0880

Other practice location 1

450 W 6th St
Newport, KY 41071-1290
Phone (859) 331-0880

Other practice location 2

7627 Ewing Blvd
Florence, KY 41042-1818
Phone (859) 331-0880

Other identifiers 1

IdentifierTypeStateIssuer
45335650MedicaidKY

Other names 1

  • Easterseals Redwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Easterseals Redwood8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1003966748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ORPHANAGE RD",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410173006",
            "telephone_number": "859-331-0880",
            "fax_number": "859-331-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 ORPHANAGE RD",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410173006",
            "telephone_number": "859-331-0880",
            "fax_number": "855-704-1573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "KY",
            "postal_code": "410711290",
            "country_code": "US",
            "telephone_number": "859-331-0880",
            "fax_number": "855-704-1573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7627 Ewing Blvd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421818",
            "country_code": "US",
            "telephone_number": "859-331-0880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REDWOOD SCHOOL AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-331-0880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45335650",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easterseals Redwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ft Mitchell, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.