Mission Haven Rediemed
NPI 1558062059 · Family Medicine Physician · Arlington, TX
Mission Haven Rediemed is a Family Medicine Physician organization in Arlington, TX (NPI 1558062059).
Provider details
- NPI number
- 1558062059
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Abi Provence, Owner and Provider(817) 992-9791
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2117 Brentgate DrArlington, TX 76017-1611Phone: (817) 435-2812Fax: (817) 719-9236
Registry dates
- Enumerated
- 2023-03-13
- Last updated
- 2023-11-27
- Certified
- 2023-11-27
Frequently asked questions
- What is Mission Haven Rediemed's NPI number?
- Mission Haven Rediemed's National Provider Identifier (NPI) is 1558062059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mission Haven Rediemed?
- Mission Haven Rediemed is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mission Haven Rediemed located?
- Mission Haven Rediemed's practice location on file with NPPES is 6108 Shorewood Dr, Arlington, TX 76016-2649.
- What is Mission Haven Rediemed's phone number?
- The practice phone number listed in the NPPES registry for Mission Haven Rediemed is (817) 435-2812.
- Who is the authorized official for Mission Haven Rediemed?
- The authorized official listed on Mission Haven Rediemed's NPPES record is Abi Provence, Owner and Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mission Haven Rediemed's NPI active?
- Yes — Mission Haven Rediemed's NPI (1558062059) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.