Robel Bedali Redae

Primary specialty

DriverTaxonomy code 172A00000X

License

12-257-0510 Issued in CO

Practice address

2703 W 26TH Street Rd
Greeley, CO 80634-8022

Phone

(206) 476-5495

NPI assigned

Feb 16, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hali Transport Solutions LLC

  • Non-emergency Medical Transport (VAN)
  • Greeley, CO
  • NPI 1942782164
  NPD Authorized official

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1629723911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 W 26TH STREET RD",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806348022",
            "telephone_number": "206-476-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 W 26TH STREET RD",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806348022",
            "telephone_number": "206-476-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDAE",
        "first_name": "ROBEL",
        "middle_name": "BEDALI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CO",
            "license": "12-257-0510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RCC Medical Supply Inc
• RCC Medical Supply of Windsor LLC
• Jody A Real, MA, CCC-SLP
• Sequoyah Jade Recio
• Red Mountain Colorado, LLC
• Alissa Nicole Redditt Guzman
• Redi-Health
• Redpoint Center, LLC
• Redpoint Center, LLC
• Sheridan Reed-Gagnon, M.S.

• Driver in Greeley, CO
• Providers in Greeley, CO by specialty
• Driver in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.