Organization Active NPI

Redemption Services, LLC.

  • Community/Behavioral Health Agency
  • Beckley, WV
National Provider Identifier
1770047060
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REDEMPTION SERVICES, LLC.
Practice address
304 S Heber St
Beckley, WV 25801-5423
Phone
(681) 238-6412
NPI assigned
Jan 30, 2019
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Bradford Wayne Phillips
Title
Executive Management
Phone
(681) 238-6412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

304 S Heber St
Beckley, WV 25801-5423

Mailing address

304 S Heber St
Beckley, WV 25801-5423
Phone (681) 238-6412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230111000393 WV Part B Supplier - Clinic/Group Practice 5991175879 Receives reassigned benefits from 1 practitioner
Practice locations: Beckley, WV

National Provider Directory

National Provider Directory

Locations

304 S Heber St
Beckley, WV 25801
Phone (304) 890-1614

804 N Eisenhower Dr
Beckley, WV 25801
Phone (681) 238-6412

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1770047060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S HEBER ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015423",
            "telephone_number": "681-238-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S HEBER ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015423",
            "telephone_number": "681-238-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEMPTION SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "EXECUTIVE MANAGEMENT",
        "authorized_official_telephone_number": "681-238-6412"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.