Provider Demographics
NPI:1235457730
Name:REAP, INC.
Entity type:Organization
Organization Name:REAP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ERBYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-813-1125
Mailing Address - Street 1:9603 CUSTER RD
Mailing Address - Street 2:#1118
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-6514
Mailing Address - Country:US
Mailing Address - Phone:402-813-1125
Mailing Address - Fax:
Practice Address - Street 1:1941 S 42ND ST
Practice Address - Street 2:SUITE 126
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2939
Practice Address - Country:US
Practice Address - Phone:402-813-1125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-07
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025858300Medicaid