MR. CHARLES EDWARD REYNOLDS NPI 1346679990

NPI Information

  • NPI: 1346679990
  • Provider Name: MR. CHARLES EDWARD REYNOLDS
  • Classification: Home Health - 251E00000X
  • Entity Type: Individual
  • Address: 3514 CLEARBROOK ST
    MEMPHIS, TN
    ZIP 38118
  • Phone: (901) 362-6015

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NPI Details

MR. Charles Edward Reynolds is a home health in Memphis, TN. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. MR. Charles Edward Reynolds NPI is 1346679990. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3514 CLEARBROOK ST
MEMPHIS, TN
ZIP 38118-547
Phone: (901) 362-6015
Fax: (901) 404-5106

The enumeration date for this NPI number is 11/4/2013 and was last updated on 11/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome Health113004427TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11346679990MEDICARE OSCAR/CERTIFICATIONTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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