Provider Demographics
NPI:1023590684
Name:REDEEM HEALTH, LLC
Entity type:Organization
Organization Name:REDEEM HEALTH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MACLEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOEBIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-281-4172
Mailing Address - Street 1:350 WESTPARK WAY
Mailing Address - Street 2:STE 60
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040
Mailing Address - Country:US
Mailing Address - Phone:682-738-3573
Mailing Address - Fax:682-738-3660
Practice Address - Street 1:350 WESTPARK WAY
Practice Address - Street 2:STE 60
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040
Practice Address - Country:US
Practice Address - Phone:682-738-3573
Practice Address - Fax:682-738-3660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX322313336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy