REDCO GROUP, LLC NPI 1013132190

Community/Behavioral Health in Stroudsburg, PA

NPI 1013132190 Organization Community/Behavioral Health

About REDCO GROUP, LLC

Redco Group, Llc is a provider established in Stroudsburg, Pennsylvania specializing in community/behavioral health. The NPI number of Redco Group, Llc is 1013132190 and was assigned on April 2007. The practitioner's primary taxonomy code is 251S00000X with license number 224590 (PA). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Tim Sohosky (Coo)

NPI

1013132190

Provider NameREDCO GROUP, LLC
Provider Location Address564 MAIN ST SECOND FLOOR STROUDSBURG, PA 18360
Provider Mailing Address564 MAIN ST SECOND FLOOR STROUDSBURG, PA 18360
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-16-2007
Last Update Date08-20-2020


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
License No.224590
License StatePA
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Business Address

REDCO GROUP, LLC
564 MAIN ST
SECOND FLOOR
STROUDSBURG, PA
ZIP 18360
Phone: (570) 420-8070

Get Directions


Mailing Address

REDCO GROUP, LLC
564 MAIN ST
SECOND FLOOR
STROUDSBURG, PA
ZIP 18360
Phone: (570) 420-8070



Authorized Official

Authorized Official Name TIM SOHOSKY
Authorized Official TitleCOO
Authorized Official Phone(570) 628-5215

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1000017170471MEDICAID (05)PA

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053505388 KIMBERLY CALAFIORE LPC
Individual
Counselor (Professional)564 MAIN ST
STROUDSBURG, PA 18360
(570) 420-8070
1184802548 CONSTANCE M WALCK LPC
Individual
Counselor (Professional)564 MAIN ST
STROUDSBURG, PA 18360
(570) 420-8070
1922276997 ANNETTE TAPIA LSW
Individual
Social Worker564 MAIN ST
STROUDSBURG, PA 18360
(570) 420-8070
1164692794 JENNIFER WOOD COLLIER LSW
Individual
Counselor (Mental Health)564 MAIN ST
STROUDSBURG, PA 18360
(570) 420-3202
1962535344 REBECCA HOPE DELTORO LCSW
Individual
Social Worker (Clinical)564 MAIN ST
STROUDSBURG, PA 18360
(570) 420-8070
1124415708 KATRINA CLANCEY
Individual
Counselor (Professional)564 MAIN ST
STROUDSBURG, PA 18360
(570) 420-8070
1962686519 MICHELLE M ZUCCARINI R.N. APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)564 MAIN ST
STROUDSBURG, PA 18360
(570) 420-8070
1558900092 TRISHA RUFFALO
Individual
Social Worker564 MAIN ST
STROUDSBURG, PA 18360
(570) 420-8070
1538145453REDCO GROUP, LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))564 MAIN ST SECOND FLOOR
STROUDSBURG, PA 18360
(570) 420-8070
1902404221PROFESSIONAL COUNSELING CONSULTING & HUMAN SERVICES LLC
Organization
Psychiatry & Neurology (Psychiatry)564 MAIN ST
STROUDSBURG, PA 18360
(570) 622-9101

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.