Healthcare Provider Details
I. General information
NPI: 1396546990
Provider Name (Legal Business Name): REIDSREADYLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5109 ROEDERER DR
LOUISVILLE KY
40219-2018
US
IV. Provider business mailing address
221 CHERRY ST
NEW ALBANY IN
47150-4806
US
V. Phone/Fax
- Phone: 812-987-3497
- Fax:
- Phone: 812-987-3497
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251T00000X |
| Taxonomy | PACE Provider Organization |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHEILA
REID
Title or Position: CEO
Credential:
Phone: 812-987-3497