Redbud Health Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005548 Issued in MI

Legal business name

REDBUD HEALTH SERVICES LLC

Practice address

500 E 3Rd St
Buchanan, MI 49107-1404

Phone

(269) 409-8626

Fax

(269) 273-8457

NPI assigned

Sep 29, 2017

Last updated

Mar 6, 2024By 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

Emily Lakin

Title

Director of Health Services

Phone

(269) 409-8626

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: emily@redbudhealth.com

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1790294064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 3RD ST",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071404",
            "telephone_number": "269-409-8626",
            "fax_number": "269-273-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 3RD ST",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071404",
            "telephone_number": "269-409-8626",
            "fax_number": "269-273-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDBUD HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "LAKIN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
        "authorized_official_telephone_number": "269-409-8626"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790294064",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Emily@redbudhealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 E 3rd St",
            "city": "Buchanan",
            "state": "MI",
            "country_code": "US",
            "postal_code": "491071404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Buchanan, MI
• Providers in Buchanan, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.