Provider Demographics
NPI:1790854602
Name:REDEEM HOME HEALTH,INC
Entity type:Organization
Organization Name:REDEEM HOME HEALTH,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:GINIGEME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-221-9200
Mailing Address - Street 1:1909 HOBART LN
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-6161
Mailing Address - Country:US
Mailing Address - Phone:972-221-9200
Mailing Address - Fax:972-221-9229
Practice Address - Street 1:1909 HOBART LN
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-6161
Practice Address - Country:US
Practice Address - Phone:972-221-9200
Practice Address - Fax:972-221-9229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010368251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-9569Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER