NPIMap

Organization Active NPI

The Redco Group, LLC.

  • Intellectual Disabilities Intermediate Care Facility
  • Milton, PA
National Provider Identifier
1689894636
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
THE REDCO GROUP, LLC.
Practice address
97 Bird LN
Milton, PA 17847-8413
Phone
(570) 524-5154
NPI assigned
May 1, 2007
Last updated
Aug 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Tim Sohosky
Title
C.O.O.
Phone
(570) 628-5215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

97 Bird LN
Milton, PA 17847-8413

Mailing address

210 S Centre St
Pottsville, PA 17901-3501

Other identifiers 1

IdentifierTypeStateIssuer
1000017170213MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689894636. Details of each certification follow.

  • CCN 39G218 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 39G218

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
THE REDCO GROUP LLC
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Nov 8, 1989
Last certification
Apr 17, 2025
Beds
4
Ownership / control type
Private (non-profit)
Facility address
97 Bird Lane
Milton, PA 17847

National Provider Directory

National Provider Directory
Tax ID family
Tri County Professional12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1689894636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S CENTRE ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 BIRD LN",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178478413",
            "telephone_number": "570-524-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REDCO GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "SOHOSKY",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "570-628-5215"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017170213",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, PA

Sources for this page

Verify at the official NPI Registry.