JACK EDWARD REARDON
NPI 1396252243
Home Health Aide in Lake Orion, MI
About Jack Edward Reardon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK EDWARD REARDON (NPI 1396252243) is an individual home health aide in Lake Orion, Michigan and active in the NPI registry since January 2018.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jack Reardon's NPI number?
The NPI number for Jack Reardon is 1396252243. It was assigned to this individual provider in the NPPES registry on January 1, 2018.
Where is Jack Reardon located?
Jack Reardon practices at 1301 Greythorne Dr, Lake Orion, MI 48359. The listed phone number is (248) 520-6277.
What is Jack Reardon's specialty?
The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.
When was this NPI record last updated?
The NPPES record for Jack Reardon was last updated on January 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jack Edward Reardon · NPI 1396252243
Home Health Aide provider in Lake Orion, Michigan. Individual provider, active in the CMS NPPES registry since January 1, 2018.
## Identity
- **NPI:** 1396252243 (Entity type: Individual)
- **Enumerated:** January 1, 2018
- **Primary specialty:** Home Health Aide · taxonomy 374U00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1301 GREYTHORNE DR, Lake Orion, MI 48359-2437
- **Phone:** (248) 520-6277
## Record status
- **NPPES last updated:** January 1, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1396252243) · Data from the CMS NPPES public registry.