MEDICARE: THE REYNOLDS EXPERIENCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	342000000X	Transportation Network Company
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1598559775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE REYNOLDS EXPERIENCE

Provider Business Mailing Address
First Line	:	2735 COVENTRY RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-1307
Country	:	US
Telephone Number	:	216-556-2027
Fax Number	:

Provider Business Practice Location Address
First Line	:	2735 COVENTRY RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-1307
Country	:	US
Telephone Number	:	216-556-2027
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JANAYA REYNOLDS
Credential	:
Telephone Number	:	216-556-2027

Provider Enumeration Date	:	04/04/2025
Last Update Date	:	04/04/2025

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Directions to “THE REYNOLDS EXPERIENCE ” Practice Location

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