Active NPI
Redeem Adult Day Healthcare
- Adult Day Care Clinic/Center
- Pine Bluff, AR
National Provider Identifier
1831384668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- REDEEM ADULT DAY HEALTHCARE
- Practice address
- 1604 Brentwood Dr
Pine Bluff, AR 71601-6822 - Phone
- (870) 541-0377
- Fax
- (870) 541-0386
- NPI assigned
- Sep 14, 2007
- 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
- Mrs. Pamela Renea Dorn
- Title
- Owner
- Phone
- (870) 541-0377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
1604 Brentwood Dr
Pine Bluff, AR 71601-6822
Mailing address
1604 Brentwood Dr
Pine Bluff, AR 71601-6822
Phone (870) 541-0377
National Provider Directory
National Provider DirectoryLocations
1604 Brentwood Dr
Pine Bluff, AR 71601
Phone (870) 541-0377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189728000000",
"number": "1831384668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 BRENTWOOD DR",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716016822",
"telephone_number": "870-541-0377",
"fax_number": "870-541-0386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 BRENTWOOD DR",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716016822",
"telephone_number": "870-541-0377",
"fax_number": "870-541-0386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDEEM ADULT DAY HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-14",
"last_updated": "2007-09-14",
"status": "A",
"authorized_official_last_name": "DORN",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "RENEA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-541-0377",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.