NPIMap

Organization Active NPI

The Redco Group, LLC.

  • Community/Behavioral Health Agency
  • Pottsville, PA
National Provider Identifier
1124100235
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE REDCO GROUP, LLC.
Practice address
16 South Centre Street
Pottsville, PA 17901-2810
Phone
(570) 628-5234
Fax
(570) 628-9051
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Tim Sohosky
Title
Coo
Phone
(570) 628-5234

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

16 South Centre Street
Pottsville, PA 17901-2810

Mailing address

16 S. Centre St.
Pottsville, PA 17901
Phone (570) 628-5234

Other identifiers 1

IdentifierTypeStateIssuer
1000017170545MedicaidPA

Other names 1

  • Clarvida Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Turning Point12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1124100235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S. CENTRE ST.",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "17901",
            "telephone_number": "570-628-5234",
            "fax_number": "570-628-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SOUTH CENTRE STREET",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012810",
            "telephone_number": "570-628-5234",
            "fax_number": "570-628-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REDCO GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "SOHOSKY",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "570-628-5234"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017170545",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarvida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.