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REDICLINIC OF PA, LLC
NPI 1982006680
Clinic/Center in Philadelphia, PA

Active since September 24, 2014
5040 CITY LINE AVENUE, PHILADELPHIA, PA 19131(713) 335-1754 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rediclinic Of Pa, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REDICLINIC OF PA, LLC (NPI 1982006680) is a healthcare organization registered as a clinic/center in Philadelphia, Pennsylvania and active in the NPI registry since September 2014. The organization lists Danielle Barrera, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1982006680
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREDICLINIC OF PA, LLC
Location Address5040 CITY LINE AVENUEPhiladelphia, PA 19131-1441
Mailing Address9 Greenway Plz, Ste. 2650Houston, TX 77046-0905 · (713) 335-1754
Phone(713) 335-1754
Organization SubpartNo
Authorized OfficialDanielle BarreraChief Operating Officer · (713) 580-9789
Enumeration DateSeptember 24, 2014
✔ NPI 1982006680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5040 CITY LINE AVENUE, Philadelphia, PA 19131
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RITE AID OF PENNSYLVANIA LLC
Pharmacy (Community/Retail Pharmacy)
5040 CITY LINE AVENUE
PHILADELPHIA, PA 19131
Philadelphia County (215) 877-2116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rediclinic Of PA, LLC's NPI number?

The NPI number for Rediclinic Of PA, LLC is 1982006680. It was assigned to this organization in the NPPES registry on September 24, 2014.

Where is Rediclinic Of PA, LLC located?

Rediclinic Of PA, LLC is located at 5040 City Line Avenue, Philadelphia, PA 19131. The listed phone number is (713) 335-1754.

What is Rediclinic Of PA, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Rediclinic Of PA, LLC was last updated on September 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.