Freddy L Reynolds

Primary specialty

Chore ProviderTaxonomy code 372500000X

Practice address

13135 Glenfield St
Detroit, MI 48213-1486

Phone

(313) 970-1662

NPI assigned

Jul 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Levels Unlimited LLC

  • In Home Supportive Care Agency
  • Detroit, MI
  • NPI 1467226944
  NPD Authorized official

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1356028252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13135 GLENFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482131486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 GLENFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482131486",
            "telephone_number": "313-970-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "FREDDY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assante C Reynolds
• Cynthia Reynolds, LMSW
• Cynthia Reynolds, LMSW
• Deangelo Derek Reynolds Sr., MD
• Delores Reynolds, MSW
• Gordon Reynolds, LLMSW
• Isharon Benyette Reynolds, NP-C
• Kathleen Ellizabeth Reynolds, RN, MSN, CNS, NP
• Natalie Reynolds
• Stewart Reynolds

• Chore Provider in Detroit, MI
• Providers in Detroit, MI by specialty
• Chore Provider in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.