Reginald Guidry Sr.
Individual provider Active NPI Home Modifications Contractor · Tickfaw, LA
NPI 1356915581 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1356915581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Modifications Contractor 171WH0202X
- Practice address
- 48468 Whiskey LN
Tickfaw, LA 70466-2748 - Phone
- (985) 956-0841
- NPI assigned
- May 12, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dreammakers Homebuilders LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | Yes |
Addresses
Primary practice location
48468 Whiskey LN
Tickfaw, LA 70466-2748
Mailing address
48468 Whiskey LN
Tickfaw, LA 70466-2748
Other providers in Tickfaw, LA
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- Taneshia Latoy Francois
- Dea Frederick
- Mary C Geno
- Grace Loving Arms Private Sitting Service LLC
- Jennifer Hewitt
- Karen Johnson
- Barbara Labee
- Patti Gennardo Lanier
- Sarai Leonard
All providers in Tickfaw, LA · Home Modifications Contractor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.