MEDICARE: HERBERT REID HOME INC

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	101YM0800X	Mental Health Counselor	092399	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669529228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERBERT REID HOME INC

Provider Business Mailing Address
First Line	:	PO BOX 1057
Second Line	:	HERBERT REID HOME INC
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540
Country	:	US
Telephone Number	:	919-961-1922
Fax Number	:	919-363-5312

Provider Business Practice Location Address
First Line	:	3733 HERITAGE MEADOW LANE
Second Line	:	HERBERT REID HOME INC
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540
Country	:	US
Telephone Number	:	919-961-1922
Fax Number	:	919-363-5312

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HERBERT REID
Credential	:
Telephone Number	:	919-961-1922

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	06/18/2008

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Directions to “HERBERT REID HOME INC ” Practice Location

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