Red Door Residential

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

RED DOOR RESIDENTIAL

Practice address

300 2ND Ave # 1D
Gallipolis, OH 45631-1163

Phone

(740) 441-7163

NPI assigned

Nov 11, 2020

Organization subpart

No

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

Authorized official

Name

Terrence LaneNPI 1912503434

Title

Ceo

Phone

(740) 441-7163

Specialties & licenses 6

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terrence E Lane

  • Personal Care Attendant
  • Gallipolis, OH
  • NPI 1912503434
  NPD Authorized official

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1376145730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 2ND AVE # 1D",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE # 1D",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311163",
            "telephone_number": "740-441-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED DOOR RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-441-7163"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Michelle Rankin, FNP
• Himanshu Rathore, MD
• Choudhary V Rayani, MD
• Jason Scott Reaves, M.D.
• Lisa H. Reaves, M.D.
• Emily Redoutey, OT
• Megan Reedy
• Josie Elizabeth Reeves, RN
• Ashley B Remy
• Mikela J Rewakowsky, CDCA

• Personal Care Attendant in Gallipolis, OH
• Providers in Gallipolis, OH by specialty
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.