Organization Active NPI

Redeemer Health Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Antioch, TN
National Provider Identifier
1275249401
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
REDEEMER HEALTH CARE LLC
Practice address
3352 Milbridge Dr
Antioch, TN 37013-2539
Phone
(615) 710-6764
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Authorized official

Name
Regina AcquahNPI 1386462141
Title
Ceo
Phone
(615) 710-6764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3352 Milbridge Dr
Antioch, TN 37013-2539

Mailing address

3352 Milbridge Dr
Antioch, TN 37013-2539
Phone (615) 710-6764

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1275249401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3352 MILBRIDGE DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132539",
            "telephone_number": "615-710-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3352 MILBRIDGE DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132539",
            "telephone_number": "615-710-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEMER HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "ACQUAH",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-710-6764"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.