Reynolds Care Support, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

FCL-079-071 Issued in NC

Legal business name

REYNOLDS CARE SUPPORT, LLC

Practice address

104 The Blvd
Eden, NC 27288-4704

Phone

(336) 627-3336

NPI assigned

Mar 2, 2009

Last updated

Mar 2, 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/Administrator

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

  • Case Management Agency
  • Walnut Cove, NC
  • NPI 1649404930
  NPD tax ID

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1932349016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 THE BLVD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272884704",
            "telephone_number": "336-627-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 THE BLVD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272884704",
            "telephone_number": "336-627-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS CARE SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "PURCELL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "336-324-7931",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "FCL-079-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn V Quashie, MD
• R & D Wilson Home Care
• Sandra Harrison Rakestraw, RN, CDE
• Renaissance Pathology Associates PA
• Gabriele Renzi, PT
• Michael Connell Reynolds, PH.D
• Rice Family Care, LLC
• Bruce Coral Richardson, OTR/L
• Caitlin Swayze Rierson, PA-C
• Gary Nicholas Rizza, MED, BS.

• Clinic/Center in Eden, NC
• Providers in Eden, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.