Redemptive Medical Equipment ,LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

REDEMPTIVE MEDICAL EQUIPMENT ,LLC

Practice address

10970 S Cleveland Ave Ste 601
Fort Myers, FL 33907-2346

Phone

(877) 498-7903

Fax

(877) 218-4462

NPI assigned

Jul 26, 2021

Organization subpart

Yes

Parent organization

REDEMPTIVE MEDICAL EQUIPMENT ,LLCAs reported in NPPES

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

Authorized official

Name

Angie Dunn

Title

Billing

Phone

(586) 498-7900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Redemptive Medical Equipment ,LLC

  • Customized Equipment (DME)
  • Roseville, MI
  • NPI 1487829941

  4486852282

  Same PAC ID

Part of

Redemptive Medical Equipment LLC

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1548933690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30550 GRATIOT AVE UNIT 247",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666710",
            "telephone_number": "586-498-7900",
            "fax_number": "877-218-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10970 S CLEVELAND AVE STE 601",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072346",
            "telephone_number": "877-498-7903",
            "fax_number": "877-218-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEMPTIVE MEDICAL EQUIPMENT ,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDEMPTIVE MEDICAL EQUIPMENT ,LLC",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "586-498-7900"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Rebolledo, PT
• Erin Elizabeth Reci
• Zoe Reddick, LCSW
• Nallu S Reddy, M.D.
• Sujana Reddy, M.D.
• Redi-Care Nursing Services LLC
• Adam James Redman, LMHC
• Brandie Dawn Redman, PT
• Cintasha T'Rena Redmond, M.D.
• Abigail Christine Reed, PA-C

• Customized Equipment (DME) in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.