Brittany Reynolds

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3002146 Issued in IL

Practice address

4134 192ND CT
Country Club Hills, IL 60478-5808

Phone

(708) 960-4529

NPI assigned

Mar 10, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Andre Heavenly Homecare Agency LLC

  • Homemaker
  • Olympia Fields, IL
  • NPI 1679205819

  Home Health

  NPD Authorized official
• Andre Heavenly Homecare Agency

  • Home Health Agency
  • Merrillville, IN
  • NPI 1588450530
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1285382002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14415 ASHLAND AVE",
            "city": "DIXMOOR",
            "state": "IL",
            "postal_code": "604261107",
            "telephone_number": "708-960-4529",
            "fax_number": "708-312-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 192ND CT",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785808",
            "telephone_number": "708-960-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BRITTANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "3002146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "881805300",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jo Ann Preston, PH.D.
• Reframing Therapy
• Raliyah Rhodes
• Rhonda's Gentle Care Transportation
• Stacey Richardson, DTA
• Emmali Richmond
• Roots Wellness Counseling LLC

• Home Health Agency in Country Club Hills, IL
• Providers in Country Club Hills, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.