LA RED HEALTH CENTER, INC. (NPI# 1780165175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780165175 |
| Entity Type | Organization |
| Organization Name | LA RED HEALTH CENTER, INC. |
| Practice Address |
26089 Long Neck Road Millsboro DE 19966 |
| Mailing Address |
21444 Carmean Way Georgetown DE 19947-4572 |
| Practice Telephone | 3028551233 |
| Practice Fax Number | 3028552025 |
| Mailing Telephone | 3028551233 |
| Mailing Fax Number | 3028552025 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |
| Authorized Official Name | MR. BRIAN S. OLSON (CEO) |
| Authorized Official Telephone | 3028552020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740653922 | La Red Health Center, Inc. | Clinic/Center | 105 N Front St Ste B, Seaford, DE 19973-2707 | 2015-11-10 |
| 1750762126 | La Red Health Center, Inc. | Clinic/Center | 21 W Clarke Ave Ste 1001, Milford, DE 19963-1840 | 2015-06-11 |
| 1770041493 | La Red Health Center, Inc. | Obstetrics & Gynecology | 105 N Front St, Seaford, DE 19973-2707 | 2019-03-12 |
| 1790004786 | La Red Health Center, Inc. | Clinic/Center | 1057 S Bradford St, Dover, DE 19904-4141 | 2010-05-31 |
| 1497071161 | La Red Health Center, Inc. | Clinic/Center | 300 High St, Seaford, DE 19973-3940 | 2010-04-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LA RED HEALTH CENTER, INC. | 21444 Carmean Way, Georgetown, DE 19947-4572 |
| Street Address |
26089 LONG NECK ROAD |
| City | MILLSBORO |
| State | DE |
| Zip Code | 19966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178459 | Ashkan Ashkani | Physical Therapist | Back Bay Area Park Center, 26396 Bay Farm Rd, Unit #1, Millsbro, DE 19966 | 2020-03-09 |
| 1962053330 | Ryan P Tezak | Physical Therapist | 30166 Commerce Dr, Millsboro, DE 19966 | 2019-09-26 |
| 1598222390 | Benchmark Physical Therapy of Delaware LLC | Occupational Therapist | 30166 Commerce Drive, Millsboro, DE 19966 | 2019-02-27 |
| 1285106591 | Coastal Counseling | Clinic/Center | 5 Chelsea Square, Millsboro, DE 19966 | 2018-12-27 |
| 1740774215 | Melissa Alyanna Gorospe Lasig | Physical Therapist | 2315 Washington Street, Millsboro, DE 19966 | 2018-06-19 |
| 1205344728 | Rehabilitation Consultants, Inc. | Clinic/Center | 36932 Silicato Drive, Suite 5, Millsboro, DE 19966 | 2018-01-18 |
| 1073044095 | Swapna Bhupathi | Physical Therapist | Atlantic Shore Rehab and Health Center, 231 S Washington Street, Millsboro, DE 19966 | 2017-03-22 |
| 1447618178 | Ashley Deering | Physical Therapy Assistant | 20383 Charlotte Blvd, Millsboro, DE 19966 | 2016-02-09 |
| 1073971537 | Jennifer Noonan | Registered Nurse | 34141 Minnow Lane, Long Neck, DE 19966 | 2016-01-29 |
| 1255733705 | Peninsula Orthopaedic Associates, Pa | Orthopaedic Surgery | 300265 Commerce Drive, Suite 104, Millsboro, DE 19966 | 2014-09-16 |
| Find all providers in zip 19966 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922535616 | La Red Health Center, Inc | Clinic/Center | 30637 Cedar Neck Road, Ocean View, DE 19970 | 2017-05-12 |
| 1750762126 | La Red Health Center, Inc. | Clinic/Center | 21 W Clarke Ave Ste 1001, Milford, DE 19963-1840 | 2015-06-11 |
| 1700832185 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2006-05-26 |
| 1669479929 | Westside Family Healthcare, Inc. | Clinic/Center | 1802 W 4th St, Wilmington, DE 19805-3420 | 2005-07-01 |
| 1790004786 | La Red Health Center, Inc. | Clinic/Center | 1057 S Bradford St, Dover, DE 19904-4141 | 2010-05-31 |
| 1497071161 | La Red Health Center, Inc. | Clinic/Center | 300 High St, Seaford, DE 19973-3940 | 2010-04-20 |
| 1821232869 | Westside Family Healthcare, Inc | Clinic/Center | 1802 W 4th St, Wilmington, DE 19805-3420 | 2009-04-21 |
| 1811171978 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2007-12-26 |
| 1225163199 | Delmarva Rural Ministries, Inc. | Clinic/Center | 26 Wyoming Ave, Dover, DE 19904-6922 | 2007-02-22 |
| 1801898556 | Westside Family Healthcare, Inc | Clinic/Center | 27 Marrows Rd, Newark, DE 19713-3701 | 2005-08-12 |
| Find all providers with the same taxonomy | ||||
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| 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.