Healthcare Provider Details

I. General information

NPI: 1568101434
Provider Name (Legal Business Name): MR. REGINALD HARDY SR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 04/30/2024
Certification Date: 05/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22102 CASSINI CT
RICHMOND TX
77407-7185
US

IV. Provider business mailing address

P. O. BOX 769
SUGAR LAND TX
77487-0769
US

V. Phone/Fax

Practice location:
  • Phone: 713-728-8100
  • Fax:
Mailing address:
  • Phone: 713-728-1000
  • Fax: 713-785-8105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code1744G0900X
TaxonomyGraphics Designer
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2472D0500X
TaxonomyDarkroom Technician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateTX
# 7
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateTX
# 9
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateTX
# 10
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 11
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: