Provider Demographics
NPI:1073919148
Name:REAL APPEAL, LLC
Entity Type:Organization
Organization Name:REAL APPEAL, LLC
Other - Org Name:DPCA, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-202-0575
Mailing Address - Street 1:1101 RED VENTURES DR
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29707-5005
Mailing Address - Country:US
Mailing Address - Phone:844-344-7325
Mailing Address - Fax:
Practice Address - Street 1:1101 RED VENTURES DR
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29707-5005
Practice Address - Country:US
Practice Address - Phone:844-344-7325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-17
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service