Reynolds Care Support, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

REYNOLDS CARE SUPPORT, LLC

Practice address

207 N Main St Ste B
Walnut Cove, NC 27052-9201

Phone

(336) 324-7931

NPI assigned

May 14, 2009

Last updated

May 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nathaniel Purcell Reynolds Jr.

Title

Owner

Phone

(336) 324-7931

Specialties & licenses 1

Addresses

Tax ID family

Reynolds Care Support LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Reynolds Care Support, LLC

  • Clinic/Center
  • Eden, NC
  • NPI 1932349016
  NPD tax ID

Locations

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1649404930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4629",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272894629",
            "telephone_number": "336-324-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N MAIN ST STE B",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270529201",
            "telephone_number": "336-324-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS CARE SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "PURCELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-324-7931",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• October Road, Inc.
• Lydia Spencer Peck, MS, BCBA
• Pioneer Health Services of Stokes County, Inc. (Pioneer Family Medical of Walnut Cove)
• Betty Presnell
• Quad County Group Homes for Emotionally Disturbed Children, Inc. (Serendipity House)
• James Doyle Richardson, RPH, BS
• Ridge Care Management, Inc.
• Amanda Lin Robertson
• Breanna Nicole Robertson, MS, LCAS-A
• Sandra Mitchell Robertson, PTA

• Case Management Agency in Walnut Cove, NC
• Providers in Walnut Cove, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.