MR. FREDERICK BERNARD REGINAL
NPI 1821567868
Home Health in Jackson, MS

Active since November 20, 2018
2310 HIGHWAY 80 W, JACKSON, MS 39204(769) 251-1106(769) 251-1106 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Home Health

About FREDERICK REGINAL

This page provides the complete NPI Profile along with additional information for Frederick Reginal, a provider established in Jackson, Mississippi with a medical specialization in Home Health. The healthcare provider is registered in the NPI registry with number 1821567868 assigned on November 2018. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1821567868 Verify this NPI
Provider Name
MR. FREDERICK BERNARD REGINAL
Gender
Male
Entity Type
Individual
Location Address
2310 HIGHWAY 80 W JACKSON, MS 39204
Location Phone
(769) 251-1106
Location Fax
(769) 251-1106
Mailing Address
2310 HIGHWAY 80 W JACKSON, MS 39204
Mailing Phone
(769) 251-1106
Mailing Fax
(769) 251-1106
Is Sole Proprietor?
Yes
Enumeration Date
11-20-2018
Last Update Date
11-20-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
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.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
2310 HIGHWAY 80 W
JACKSON, MS 39204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821567868, enumerated as an "individual" on November 20, 2018.

The provider is located at 2310 HIGHWAY 80 W JACKSON, MS 39204 and the phone number is (769) 251-1106.

Home Health with taxonomy code 251E00000X.