Reddoor Personal Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

REDDOOR PERSONAL CARE

Practice address

215 E Little Ave
Driggs, ID 83422-5137

Phone

(208) 354-3005

Fax

(208) 354-3006

NPI assigned

Jul 8, 2011

Organization subpart

Yes

Parent organization

REDDOOR REHABILITATION INCAs reported in NPPES

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

Authorized official

Name

Mr. Chris Harris, NONE

Title

Owner

Phone

(208) 354-3005

Specialties & licenses 1

Addresses

Part of

Reddoor Rehabilitation Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Reddoor Rehabilitation Inc.

  • Adult Mental Health Clinic/Center
  • Driggs, ID
  • NPI 1962604942
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheridan Orene Perry, BS

  • Behavior Technician
  • Rexburg, ID
  • NPI 1538939830
  NPD

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1962799031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E LITTLE AVE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225137",
            "telephone_number": "208-354-3005",
            "fax_number": "208-354-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E LITTLE AVE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225137",
            "telephone_number": "208-354-3005",
            "fax_number": "208-354-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDOOR PERSONAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDDOOR REHABILITATION INC",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-354-3005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliza S. Petersen, AUD, CCCA
• Pine Creek Counseling
• Juanita E Prissel, MD
• Querencia Counseling
• Rose Marie Raube, P.T.A
• Reddoor Rehabilitation Inc.
• Sarah Joyce Richins, MPH, RD, LD
• Christina Ella Emde Riley, L.C.S.W.
• Hannah Catherine Roaten, PT, DPT
• Rocky Mountain Holdings, LLC

• Home Health Agency in Driggs, ID
• Providers in Driggs, ID by specialty
• Home Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.