Organization Active NPI

Redimere Recovery Resources LLC

  • Private Vehicle
  • Tupelo, MS
National Provider Identifier
1497387641
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
REDIMERE RECOVERY RESOURCES LLC
Practice address
4646 Meadow Lake Dr
Tupelo, MS 38801-7928
Phone
(662) 372-7759
NPI assigned
Feb 5, 2020
Last updated
Feb 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Patrick Elkins, MBA
Title
Owner/Operator
Phone
(662) 372-7759

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU
Private Vehicle 347C00000X NU Primary
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU
Peer Specialist 175T00000X NU

Addresses

Primary practice location

4646 Meadow Lake Dr
Tupelo, MS 38801-7928

Mailing address

4646 Meadow Lake Dr
Tupelo, MS 38801-7928
Phone (662) 372-7759

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1497387641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 MEADOW LAKE DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017928",
            "telephone_number": "662-372-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 MEADOW LAKE DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017928",
            "telephone_number": "662-372-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDIMERE RECOVERY RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "662-372-7759",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.