REDICLINIC LLC


Address: 11750 Bustleton Ave, Philadelphia, PA 19116-2516
Phone: 8669350333

REDICLINIC LLC (NPI# 1225156870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225156870
Entity Type Organization
Organization Name REDICLINIC LLC
Practice Address 11750 Bustleton Ave
Philadelphia
PA 19116-2516
Mailing Address 18059 Crescent Royale Way
Humble
TX 77346-3467
Practice Telephone 8669350333
Practice Fax Number 7139359353
Mailing Telephone 7139350333
Mailing Fax Number 7139359353
Enumeration Date 2007-03-26
Last Update Date 2020-08-22
Authorized Official Name MR. RICK VAN PELT (VP OF OPERATIONS)
Authorized Official Telephone 8669320333
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932227030 Rediclinic LLC Clinic/Center 1100 S Ih 35, Georgetown, TX 78626 2007-03-27
1497873723 Rediclinic LLC Clinic/Center 16900 N. Fm 620, Round Rock, TX 78664 2007-03-26
1235257833 Rediclinic LLC Clinic/Center 4303 Kingwood Dr, Kingwood, TX 77339-3700 2007-03-26
1700903317 Rediclinic LLC Clinic/Center 3296 Chichester Ave, Boothwyn, PA 19061-3250 2007-03-26
1700904331 Rediclinic LLC Clinic/Center 3200 Red Lion Rd # 92, Philadelphia, PA 19114-1129 2007-03-26
1114067519 Rediclinic LLC Clinic/Center 3911 North Mall Avenue, Fayetteville, AR 72703 2007-02-07
1750459418 Rediclinic LLC Clinic/Center 3111 Woodridge Dr, Suite 500, Houston, TX 77087-2558 2006-12-01
1326116922 Rediclinic LLC Clinic/Center 1133 E E W Connector, Austell, GA 30106-1589 2006-12-01
1588782601 Rediclinic LLC Clinic/Center 6711 S Fry Rd, Katy, TX 77494 2007-03-27
1417075565 Rediclinic LLC Clinic/Center 4208 Pleasant Crossing Blvd, Rogers, AR 72758-1345 2007-03-27

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities RediClinic LLC 30 Hunter Ln, Camp Hill, Pennsylvania 17011-2400

Office Location

Street Address 11750 BUSTLETON AVE
City PHILADELPHIA
State PA
Zip Code 19116-2516

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477101657 Jennifer Kwak Pharmacist 11750 Bustleton Ave, Philadelphia, PA 19116-2516 2019-08-30
1811444052 Chong Chang Pharmacist 11750 Bustleton Ave, Philadelphia, PA 19116-2516 2016-09-06
1568855542 Soo J Ham Pharmacist 11750 Bustleton Ave, Philadelphia, PA 19116-2516 2015-03-14
1881008423 Alexander Charles Kocsy Pharmacist 11750 Bustleton Ave, Philadelphia, PA 19116-2516 2014-06-11
1235445867 Joseph John Urban IIi Pharmacist 11750 Bustleton Ave, Philadelphia, PA 19116-2516 2010-08-20
1174844575 Joon H Jung Pharmacist 11750 Bustleton Ave, Philadelphia, PA 19116-2516 2010-06-20
1821317140 Bindu Mathew Pharmacist 11750 Bustleton Ave, Philadelphia, PA 19116-2516 2010-05-26
1104143494 Jaicy Varghese Pharmacist 11750 Bustleton Ave, Rite Aid Pharmacy, Philadelphia, PA 19116 2010-04-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194334466 Ambassador Home Care Services LLC Homemaker 118080 Bustleton Av, Suite 301, Philadelphia, PA 19116 2020-07-23
1669919445 Lenore Pierce Bailey Social Worker 15100 Dahlia Drive, Philadelphia, PA 19116 2017-01-31
1477938991 Jessica Gabriela Dashevsky Counselor 467 Parlin St, Philadelphia, PA 19116 2015-07-27
1174949697 Absolute Therapy Care LLC Physical Therapist 10125 Verree Rd Ste 100, Philadelphia, PA 19116 2014-03-07
1790107936 Philmont Homecare, LLC Home Health 14500 Bustleton Avenue, Suite 208, Philadelphia, PA 19116 2014-01-07
1417381609 Able Ambulance Inc. Ambulance 1017 Haldeman Ave., Philadelphia, PA 19116 2013-08-25
1821356718 Timur Kakhramanov Nurse Practitioner 301 W.byberry Rd, Unit F-6, Philadelphia, PA 19116 2012-04-27
1982975173 Simon Perelshteyn Internal Medicine 10172 Verree Rd, Philadelphia, PA 19116 2012-01-19
1841574449 Irene Feldman Pharmacist 10000 Busteloton Ave, Philadelphia, PA 19116 2011-10-03
1992095590 Long Life Ambulance, LLC Ambulance 10065 Sandmeyer Lane, 103, Philadelphia, PA 19116 2011-04-15
Find all providers in zip 19116

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144820754 The Nava Center, Inc. Clinic/Center 1334 S 18th St, Philadelphia, PA 19146-4647 2020-11-01
1023620135 Neshoba County General Hospital-nursing Home Clinic/Center 406 Stribling St, Philadelphia, MS 39350-3344 2020-08-19
1043775711 New Vitae, Inc. Clinic/Center 27 S. 55th Street, Philadelphia, PA 19139-3247 2019-02-06
1184132219 Neshoba County General Hospital Clinic/Center 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 2018-01-10
1699288142 Rogers Memorial Hospital Inc Clinic/Center 1 Winding Dr Ste 106, Philadelphia, PA 19131-2907 2017-11-07
1952753238 American Rehabilitation Counseling Center LLC Clinic/Center 8305-15 Ridge Ave, Philadelphia, PA 19128-1722 2016-07-11
1750736088 Mark Wilson Clinic/Center 5313 Ogden St, Philadelphia, PA 19139-1438 2016-04-23
1023485265 Greater Philadelphia Health Action Inc. Clinic/Center 1408 S. Broad St., 2nd Floor, Philadelphia, PA 19146-4808 2015-08-24
1407233125 Rediclinic of Pa, LLC Clinic/Center 7418-32 Oxford Avenue, Philadelphia, PA 19111-3023 2015-05-01
1912397118 Physical Corrective Solutions, LLC Clinic/Center 2644 Lefevre St Ste A, Suite A, Philadelphia, PA 19137-1733 2015-01-27
Find all providers in PHILADELPHIA

Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19116

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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