Active NPI
Redeem Home Care and Counseling Services LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Blackwood, NJ
National Provider Identifier
1710836705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- REDEEM HOME CARE AND COUNSELING SERVICES LLC
- Practice address
- 900 Route 168 Ste D5
Blackwood, NJ 08012-3207 - Phone
- (484) 477-2961
- NPI assigned
- Jan 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yancun Wisseh, MR.
- Title
- Executive Director
- Phone
- (484) 477-2961
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
900 Route 168 Ste D5
Blackwood, NJ 08012-3207
Mailing address
900 Route 168 Ste D5
Blackwood, NJ 08012-3207
Phone (484) 477-2961
National Provider Directory
National Provider DirectoryLocations
900 Route 168
Ste D5
Blackwood, NJ 08012
Phone (484) 477-2961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769126400000",
"number": "1710836705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 ROUTE 168 STE D5",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080123207",
"telephone_number": "484-477-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ROUTE 168 STE D5",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080123207",
"telephone_number": "484-477-2961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDEEM HOME CARE AND COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-23",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A",
"authorized_official_last_name": "WISSEH",
"authorized_official_first_name": "YANCUN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "484-477-2961",
"authorized_official_credential": "MR."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blackwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.