JACK EDWARD REARDON NPI 1396252243

NPI Information

  • NPI: 1396252243
  • Provider Name: JACK EDWARD REARDON
  • Classification: Home Health Aide - 374U00000X
  • Entity Type: Individual
  • Address: 1301 GREYTHORNE DR
    LAKE ORION, MI
    ZIP 48359
  • Phone: (248) 520-6277

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NPI Details

Jack Edward Reardon is a home health aide in Lake Orion, MI. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Jack Edward Reardon NPI is 1396252243. 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:

1301 GREYTHORNE DR
LAKE ORION, MI
ZIP 48359-437
Phone: (248) 520-6277

The enumeration date for this NPI number is 1/1/2018 and was last updated on 1/1/2018.

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
1374U00000XHome Health AideYes

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

NPI Synchronization or Removal

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