Organization Active NPI

Redwood School and Rehabilitation Center

  • Adult Day Care Clinic/Center
  • Ft. Mitchell, KY
National Provider Identifier
1235225855
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
REDWOOD SCHOOL AND REHABILITATION CENTER
Practice address
71 Orphanage Rd
Ft. Mitchell, KY 41017
Phone
(859) 331-0880
Fax
(859) 331-6177
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X
Adult Day Care Clinic/Center 261QA0600X Primary
Respite Care 385H00000X KY
Respite Care Camp 385HR2050X KY

Addresses

Primary practice location

71 Orphanage Rd
Ft. Mitchell, KY 41017

Mailing address

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

Other practice location 1

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

Other identifiers 1

IdentifierTypeStateIssuer
43003599MedicaidKY

Other names 1

  • Easterseals Redwood Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.eastersealsredwood.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1235225855",
    "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": "41017",
            "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": "41017",
            "telephone_number": "859-331-0880",
            "fax_number": "859-331-6177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7627 Ewing Blvd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421818",
            "country_code": "US",
            "telephone_number": "859-331-0880",
            "fax_number": "855-704-1573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REDWOOD SCHOOL AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "859-331-0880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43003599",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.eastersealsredwood.org",
            "affiliation": "N",
            "address_1": "71 Orphanage Rd",
            "city": "Ft. Mitchell",
            "state": "KY",
            "country_code": "US",
            "postal_code": "41017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 12, 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.