NPIMap

Organization Active NPI

The Redco Group, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pottsville, PA
National Provider Identifier
1265419998
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
203370 Issued in PA
Legal business name
THE REDCO GROUP, LLC.
Practice address
603 W Market St
Pottsville, PA 17901-2810
Phone
(570) 628-4731
Fax
(570) 516-9448
NPI assigned
Dec 23, 2005
Last updated
Aug 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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) 628-5215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 203370 PA Primary

Addresses

Primary practice location

603 W Market St
Pottsville, PA 17901-2810

Mailing address

16 S. Centre Street
Pottsville, PA 17901-3001
Phone (570) 628-5234

Other identifiers 1

IdentifierTypeStateIssuer
1000017170526MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Tri County Professional12 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": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1265419998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S. CENTRE STREET",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013001",
            "telephone_number": "570-628-5234",
            "fax_number": "570-628-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 W MARKET ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012810",
            "telephone_number": "570-628-4731",
            "fax_number": "570-516-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REDCO GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "SOHOSKY",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "570-628-5215"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "203370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017170526",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 28, 2019; 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.