Active NPI
Burt Reynolds
- Home Health Aide
- Greenville, SC
National Provider Identifier
1144057266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1200 Woodruff Rd
Greenville, SC 29607-5730 - Phone
- (864) 527-0441
- NPI assigned
- Sep 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1200 Woodruff Rd
Greenville, SC 29607-5730
Mailing address
1200 Woodruff Rd
Greenville, SC 29607-5730
Phone (864) 527-0441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726272000000",
"number": "1144057266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 WOODRUFF RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075730",
"telephone_number": "864-527-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WOODRUFF RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075730",
"telephone_number": "864-527-0441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "BURT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-14",
"last_updated": "2024-09-14",
"certification_date": "2024-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.