Organization Active NPI

Redeem Adult Day Healthcare

  • Adult Day Care Clinic/Center
  • Pine Bluff, AR
National Provider Identifier
1831384668
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Sep 14, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.