REDI-CARE INC P C (NPI# 1790896611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790896611 |
| Entity Type | Organization |
| Organization Name | REDI-CARE INC P C |
| Other Organization Name | DARYL L. HERSHBERGER, M.D. |
| Practice Address |
2120 N Detroit St Lagrange IN 46761-1147 |
| Practice Telephone | 2604632468 |
| Practice Fax Number | 2604634237 |
| Mailing Telephone | 2604632468 |
| Mailing Fax Number | 2604634237 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-10-01 |
| Authorized Official Name | DARYL L. HERSHBERGER (OWNER) |
| Authorized Official Telephone | 2604632468 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
01037748A | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000299462 | 01 |
| IN | PHP | 8757 | 01 |
| IN | 200108370A | 05 | |
| IN | TRICARE | 308606708 | 01 |
| IN | DMERC | 4909200001 | 01 |
| IN | RAILROAD MEDICARE | P00249946 | 01 |
| Other Name | Type Code |
|---|---|
| Daryl L. Hershberger, M.D. | Former Legal Business Name - Organization |
| Street Address |
2120 N DETROIT ST |
| City | LAGRANGE |
| State | IN |
| Zip Code | 46761-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548220544 | Millard Reed Taylor | Family Medicine | 2120 N Detroit St, Lagrange, IN 46761 | 2006-03-24 |
| 1164855110 | Sasha Danielle Plank | Nurse Practitioner | 2120 N Detroit St, Lagrange, IN 46761 | 2013-08-13 |
| 1083918833 | Abby Marie Levitz | Nurse Practitioner | 2120 N Detroit St, Lagrange, IN 46761-1147 | 2011-01-07 |
| 1114142437 | Arlene R Word-white | Nurse Practitioner | 2120 N Detroit St, Lagrange, IN 46761-1147 | 2007-04-13 |
| 1972728202 | Daryl L Hershberger | Anesthesiology | 2120 N Detroit St, Lagrange, IN 46761-1147 | 2007-04-13 |
| 1568551414 | Shelby O. Cooper | Obstetrics & Gynecology | 2120 N Detroit St, Lagrange, IN 46761-1147 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049007 | Darlene L. Schlotterback | Physical Therapist | 207 N. Townline Rd, Lagrange, IN 46761 | 2019-12-09 |
| 1083264006 | Kimberly A Hershberger | Pharmacist | 0975 N 00 Ew, Lagrange, IN 46761 | 2019-09-12 |
| 1134775554 | Kristy Jo Roth | Pharmacist | 0975n 00 Ew, Lagrange, IN 46761 | 2019-08-12 |
| 1235372277 | Lagrange Surgery Center, LLC | Clinic/Center | 2500 Ventura Way, Lagrange, IN 46761 | 2009-04-07 |
| 1568565265 | Hook Superx LLC | Pharmacy | 975n Ooew, Lagrange, IN 46761 | 2006-09-07 |
| 1558305326 | Craig L Nelson Dds Inc | Dentist | 405 Union Street, Lagrange, IN 46761 | 2006-06-15 |
| 1134184781 | Michael W Conway | Family Medicine | 207 N Townline Rd Ste 104, Lagrange, IN 46761 | 2006-04-18 |
| 1891791414 | Larry Best | Podiatrist | 400 1/2 Union Street, Lagrange, IN 46761 | 2005-06-28 |
| 1972140010 | Vickie L. Pletcher | Physical Therapy Assistant | 207 N. Townline Rd., Lagrange, IN 46761 | 2019-12-09 |
| 1881231272 | Robert Dean Kinsey | Physical Therapy Assistant | 207 N. Townline Rd., Lagrange, IN 46761 | 2019-12-04 |
| Find all providers in zip 46761 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 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.