NPIMap

Organization Active NPI

Redwood School and Rehabilitation Center, Inc.

Doing business as Easterseals Redwood

  • Speech-Language Pathologist
  • Ft Mitchell, KY
National Provider Identifier
1801278957
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
REDWOOD SCHOOL AND REHABILITATION CENTER, INC.
Doing business as
Easterseals Redwood
Practice address
71 Orphanage Rd
Ft Mitchell, KY 41017-3006
Phone
(859) 331-0880
Fax
(859) 331-6177
NPI assigned
Jun 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Mrs. Pam Green
Title
Ceo
Phone
(859) 331-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X KY Primary

Addresses

Primary practice location

71 Orphanage Rd
Ft Mitchell, KY 41017-3006

Mailing address

71 Orphanage Rd
Ft Mitchell, KY 41017-3006
Phone (859) 331-0880

Other identifiers 1

IdentifierTypeStateIssuer
45335650MedicaidKY

Other names 1

  • Easterseals Redwood Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrobinson@eastersealsredwood.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191009002871 KY Part B Supplier - Clinic/Group Practice 0042383937 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Florence, KY; Fort Mitchell, KY

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Easterseals Redwood8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1801278957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ORPHANAGE RD",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410173006",
            "telephone_number": "859-331-0880",
            "fax_number": "859-331-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 ORPHANAGE RD",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410173006",
            "telephone_number": "859-331-0880",
            "fax_number": "859-331-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD SCHOOL AND REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2022-11-17",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-331-0880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45335650",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrobinson@eastersealsredwood.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "71 Orphanage Rd",
            "city": "Ft Mitchell",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410173006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Easterseals Redwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ft Mitchell, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.