Organization Active NPI

Redemption Addiction Treatment Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wilmington, DE
National Provider Identifier
1639887409
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
REDEMPTION ADDICTION TREATMENT CENTER LLC
Practice address
1819 Newport Rd
Wilmington, DE 19808-6039
Phone
(617) 435-9783
NPI assigned
Nov 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Matthew Ganem
Title
Chief Executive Officer
Phone
(617) 435-9783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1819 Newport Rd
Wilmington, DE 19808-6039

Mailing address

1819 Newport Rd
Wilmington, DE 19808-6039
Phone (617) 435-9783

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kipuhealth.com Health Information Exchange (HIE)

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2290596Redemption Addiction Treatment Center, LLC1819 Newport Rd, Wilmington, DE 19808Certificate of waiverSep 26, 2027

National Provider Directory

National Provider Directory

Locations

1819 Newport Rd
Wilmington, DE 19808
Phone (617) 435-9783

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1639887409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 NEWPORT RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198086039",
            "telephone_number": "617-435-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 NEWPORT RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198086039",
            "telephone_number": "617-435-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEMPTION ADDICTION TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "GANEM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-435-9783"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kipuhealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1819 Newport Rd",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198086039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.