REDDOOR REHABILITATION INC. (NPI# 1962604942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962604942 |
| Entity Type | Organization |
| Organization Name | REDDOOR REHABILITATION INC. |
| Practice Address |
85 S Main St Driggs ID 83422-9700 |
| Practice Telephone | 2083543005 |
| Practice Fax Number | 2083543006 |
| Mailing Telephone | 2083543005 |
| Mailing Fax Number | 2083543006 |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2016-06-01 |
| Authorized Official Name | MRS. EVITA MARLENE HARRIS (PRESIDENT) |
| Authorized Official Telephone | 2083543005 |
| Authorized Official Credential | B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 251B00000X | Case Management | ID | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806770100 | 05 | |
| ID | 806703600 | 05 |
| Street Address |
85 S MAIN ST |
| City | DRIGGS |
| State | ID |
| Zip Code | 83422-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477927812 | Christy Joy Thomas | Social Worker | 85 S Main St, Driggs, ID 83422-9700 | 2015-11-23 |
| 1730513854 | Kathy Davidson | Health Maintenance Organization | 85 S Main St, Driggs, ID 83422-9700 | 2013-08-26 |
| 1083807630 | Alex Suarez | Social Worker | 85 S Main St, Driggs, ID 83422-9700 | 2007-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310278 | Lance Ole Einerson | Physical Therapist | 440 North Main Street, Driggs, ID 83422 | 2019-08-08 |
| 1093205684 | Jennifer Lynn Mccrillis | Counselor | 1300 Arrowhead Plaza, Driggs, ID 83422 | 2018-05-18 |
| 1730636358 | Tkj, LLC | Health Educator | 1251 Arrowhead Plaza Way, Driggs, ID 83422 | 2016-09-01 |
| 1790136091 | Teton County Fire Protection Dist | Ambulance | 911 North Hwy 33, Driggs, ID 83422 | 2016-06-28 |
| 1922458942 | Candace Dayton | Social Worker | 620 Centenial Mountain Drive, Ste 12, Driggs, ID 83422 | 2016-06-21 |
| 1881092955 | Rebecca A. Park | Massage Therapist | 500 E Ski Hill Rd, Driggs, ID 83422 | 2014-12-05 |
| 1902211089 | Anna Rhea Hirnyck | Physical Therapist | 500 E Ski Hill, Drigga, ID 83422 | 2014-06-26 |
| 1982018867 | Ruby Isaly | Speech-Language Pathologist | 560 E Howard Avenue, Driggs, ID 83422 | 2014-06-18 |
| 1043633712 | Neerings Dental Inc, Dba Teton Valley Dental Center | Dentist | 235 Wallace Ave, Driggs, ID 83422 | 2014-01-30 |
| 1205261583 | Sara Helen Mckeown White | Counselor | 1300 Arrowhead Plaza Way, Driggs, ID 83422 | 2013-09-05 |
| Find all providers in zip 83422 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043411820 | Teton Valley Counseling, Inc. | Case Management | 35 N 1st, Driggs, ID 83422 | 2007-05-30 |
| 1770629644 | Teton Valley Counseling, Inc | Case Management | 35 North 1 Street, Driggs, ID 83422 | 2007-01-29 |
| 1922331321 | Caroline Estay | Case Management | 436 Forest View Dr, Driggs, ID 83422-5255 | 2009-09-16 |
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| 1316551187 | Atropos Mental Health | Case Management | 217 S 9th Ave, Pocatello, ID 83201-5351 | 2020-08-31 |
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| 1528607686 | Community Partnerships of Idaho, Inc | Case Management | 106 New 6th St, Lewiston, ID 83501-2133 | 2020-01-06 |
| 1437798592 | Community Partnerships of Idaho, Inc | Case Management | 13403 N Government Way Unit 200, Hayden Lake, ID 83835-8906 | 2020-01-06 |
| 1992267439 | Accord Service Coordination LLC | Case Management | 2004 S Preakness Way, Nampa, ID 83686-1338 | 2019-04-03 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| 1114417029 | Mountain West Supportive Services | Case Management | 1970 E 17th St Ste 101, Idaho Falls, ID 83404-8046 | 2018-05-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.