Redemption Village Recovery Homes

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REDEMPTION VILLAGE RECOVERY HOMES

Practice address

1016 Blue Sky Dr NW
Concord, NC 28027-7970

Phone

(704) 870-7461

NPI assigned

Aug 17, 2026

Last updated

Aug 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Cox Bolumole, BOLUMOLE

Title

Owner

Phone

(704) 605-6187

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1982519807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 BLUE SKY DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277970",
            "telephone_number": "704-870-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 BLUE SKY DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277970",
            "telephone_number": "704-870-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEMPTION VILLAGE RECOVERY HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-16",
        "status": "A",
        "authorized_official_last_name": "BOLUMOLE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "COX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-605-6187",
        "authorized_official_credential": "BOLUMOLE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syreeta Watkins Reaves, RN
• Lauren Elizabeth Rector
• Tammy Moxley Rector
• Naveena Mainampati Reddy, MD
• Redefined Nutrition, LLC
• Mekiaya Redfearn
• Jessica Lynn Redish, M.S./ED.S.
• Angela Christine Redmon, NP
• Jordan Redmon
• Sydney Redmond, OTR/L

• Community/Behavioral Health Agency in Concord, NC
• Providers in Concord, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.