La Red Health Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

LA RED HEALTH CENTER, INC.

Practice address

21 W Clarke Ave Ste 1001
Milford, DE 19963-1840

Phone

(302) 855-1233

Fax

(302) 855-2025

NPI assigned

Jun 11, 2015

Last updated

Jun 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian S Olson

Title

Chief Executive Officer

Phone

(302) 855-1233

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750762126. Details of each certification follow.

• CCN 081815 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 081815

Legal name

LA RED HEALTH CENTER INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 15, 2015

Last certification

Jul 15, 2015

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Jul 15, 2002 in DE

Enrollment address

21 W Clarke Ave
Ste 1001
Milford, DE 19963-1849

Other NPIs with the same Medicare PAC ID 3

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

• La Red Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Georgetown, DE
  • NPI 1700832185

  4789668815

  Same PAC ID
• La Red Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Georgetown, DE
  • NPI 1811171978

  4789668815

  Same PAC ID
• La Red Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Seaford, DE
  • NPI 1497071161

  4789668815

  Same PAC ID

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• La Red Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Georgetown, DE
  • NPI 1700832185

  O20070306000183

  Same enrollment
• La Red Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Georgetown, DE
  • NPI 1811171978

  O20070306000183

  Same enrollment
• La Red Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ocean View, DE
  • NPI 1922535616

  O20070306000183

  Same enrollment
• La Red Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Georgetown, DE
  • NPI 1154084002

  O20070306000183

  Same enrollment
• La Red Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Seaford, DE
  • NPI 1497071161

  O20070306000183

  Same enrollment
• La Red Health Center, Inc.

  dba Seaford GYN Associates

  • Federally Qualified Health Center (FQHC)
  • Seaford, DE
  • NPI 1740653922

  O20070306000183

  Same enrollment
• La Red Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Millsboro, DE
  • NPI 1780165175

  O20070306000183

  Same enrollment

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

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• La Red Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Georgetown, DE
  • NPI 1154084002

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Coleen Kathleen Brogan, CNM, WHNP

  • Advanced Practice Midwife
  • Georgetown, DE
  • NPI 1740393651
  NPD
• Erica Nicole Cannon, CNM

  • Advanced Practice Midwife
  • Seaford, DE
  • NPI 1104784172
  NPD
• Morgan Kelly, DMD

  • General Practice Dentistry
  • Georgetown, DE
  • NPI 1194575050
  NPD
• Erica Jean Persaud, M.ED., LPCMH, NCC

  • Mental Health Counselor
  • Georgetown, DE
  • NPI 1265109276
  NPD
• Melanie M Snyder, DMD

  • Public Health Dentistry
  • Milford, DE
  • NPI 1891511374
  NPD
• Christine A Stinton, D.M.D.

  • Dentist
  • Milford, DE
  • NPI 1508060575
  NPD

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1750762126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21444 CARMEAN WAY",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199474572",
            "telephone_number": "302-855-1233",
            "fax_number": "302-855-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W CLARKE AVE STE 1001",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631840",
            "telephone_number": "302-855-1233",
            "fax_number": "302-855-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA RED HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "302-855-1233",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepak Kumar
• Geeta Kumari, MD
• Elizabeth Suarez Kuneman, PSY.D.
• Alexandra Kwan, PA-C
• Yasmin Nana Kyeremateng
• Lab at Seascape
• Nicole Lachman, APN
• Craig Adam Laing, ANP-BC
• Diana Lako, BCBA
• Beverly Dawn Lawson, LPCMH

• Federally Qualified Health Center (FQHC) in Milford, DE
• Providers in Milford, DE by specialty
• Federally Qualified Health Center (FQHC) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.