REDICLINIC LLC (NPI# 1225156870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | RediClinic LLC | 30 Hunter Ln, Camp Hill, Pennsylvania 17011-2400 |
Street Address |
11750 BUSTLETON AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19116-2516 |
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 |
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 Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
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). |
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 |
City | PHILADELPHIA |
Zip Code | 19116 |
Please comment or provide details below to improve the information on REDICLINIC LLC.
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.