Active NPI
Redi-Care Inc
- Land Ambulance
- Craigsville, WV
National Provider Identifier
1396835716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- REDI-CARE INC
- Practice address
- 371 Williams Rd
Craigsville, WV 26205-8013 - Phone
- (304) 742-3865
- NPI assigned
- Oct 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael N Cox
- Title
- President
- Phone
- (304) 742-3865
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | WV | Primary |
Addresses
Primary practice location
371 Williams Rd
Craigsville, WV 26205-8013
Mailing address
PO Box 1800
Craigsville, WV 26205-1800
Phone (304) 742-3865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0144840000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051028000000 | WV | Part B Supplier - Ambulance Service Supplier | 2567489677 | Practice locations: Craigsville, WV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2178611 | Redi-Care Inc | Certificate of waiver | Feb 5, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188086400000",
"number": "1396835716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1800",
"city": "CRAIGSVILLE",
"state": "WV",
"postal_code": "262051800",
"telephone_number": "304-742-3865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 WILLIAMS RD",
"city": "CRAIGSVILLE",
"state": "WV",
"postal_code": "262058013",
"telephone_number": "304-742-3865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDI-CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-14",
"last_updated": "2007-08-26",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-742-3865"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0144840000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Craigsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.