Reddoor Rehabilitation Inc.
LBN: Reddoor Rehabilitation Inc.
Reddoor Rehabilitation Inc. is an health care organization with primary practice located at 85 S Main St , Driggs ID 83422-9700. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Adult Mental Health. Agencies / Case Management is the primary health care specialty.
Reddoor Rehabilitation Inc. can be contacted via phone (208) 354-3005, or through Harris, Evita Marlene via phone (208) 354-3005.
Contact Information
Primary practice address
85 S Main St
Driggs ID 83422-9700
Phone: (208) 354-3005
Fax: (208) 354-3006
Website:
Authorized official contact:
Name: Harris, Evita Marlene Bachelor of Arts (BA)
Phone: (208) 354-3005
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | Idaho | |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1962604942 |
|---|---|
| LBN Legal business name | Reddoor Rehabilitation Inc. |
| DBA Doing business as | |
| Authorized official | Harris, Evita Marlene Bachelor of Arts (BA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 3rd, 2007 |
| Last updated | Jun 1st, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962604942 | NPPES |
| Idaho | MEDICAID | 806703600 | |
| Idaho | MEDICAID | 806770100 |
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