Organization Active NPI

Redwood School and Rehabilitation Center

Doing business as Easterseals Redwood

  • Community Health Clinic/Center
  • Ft Mitchell, KY
National Provider Identifier
1851442826
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
REDWOOD SCHOOL AND REHABILITATION CENTER
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
Jan 16, 2007
Last updated
Jul 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X KY
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X KY
Developmentally Disabled Services Day Training Agency 251C00000X KY
Community Health Clinic/Center 261QC1500X Primary
Hearing and Speech Clinic/Center 261QH0700X KY
Physical Therapy Clinic/Center 261QP2000X KY
Occupational Medicine Clinic/Center 261QX0100X KY
Respite Care 385H00000X KY

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 practice location 1

7627 Ewing Blvd
Florence, KY 41042-1818
Phone (859) 331-0880

Other identifiers 1

IdentifierTypeStateIssuer
33900135MedicaidKY

Other names 1

  • Easterseals Redwood Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.redwoodnky.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1851442826",
    "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": [
        {
            "address_1": "7627 Ewing Blvd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421818",
            "country_code": "US",
            "telephone_number": "859-331-0880",
            "fax_number": "855-704-1573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REDWOOD SCHOOL AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "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": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33900135",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.redwoodnky.org",
            "affiliation": "N",
            "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"
        },
        {
            "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 Jul 27, 2023; 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.