Redempta Services NFP

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

201400010C Issued in IL

Legal business name

REDEMPTA SERVICES NFP

Practice address

23049 Richton Square Rd
Richton Park, IL 60471-2618

Phone

(708) 624-0002

NPI assigned

Oct 10, 2014

Organization subpart

No

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

Authorized official

Name

Loren Pilgrom

Title

Board Pres

Phone

(708) 997-2262

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1255735833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 553",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604710553",
            "telephone_number": "708-624-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23049 RICHTON SQUARE RD",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604712618",
            "telephone_number": "708-624-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEMPTA SERVICES NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "PILGROM",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "BOARD PRES",
        "authorized_official_telephone_number": "708-997-2262"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "201400010C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Richton Park, IL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.