Provider Demographics
NPI:1790595726
Name:REDDOTCARE
Entity type:Organization
Organization Name:REDDOTCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:UNIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:234-719-9375
Mailing Address - Street 1:6748 APPLERIDGE CIR APT 1
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4932
Mailing Address - Country:US
Mailing Address - Phone:234-719-9375
Mailing Address - Fax:
Practice Address - Street 1:46 W PRINCETON AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44507-1446
Practice Address - Country:US
Practice Address - Phone:234-719-9375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332U00000XSuppliersHome Delivered Meals