Provider Demographics
NPI:1144866104
Name:RELIABLE HOME CARE LLC
Entity type:Organization
Organization Name:RELIABLE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-550-6621
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:RONCO
Mailing Address - State:PA
Mailing Address - Zip Code:15476-0008
Mailing Address - Country:US
Mailing Address - Phone:724-550-6621
Mailing Address - Fax:
Practice Address - Street 1:347 RONCO ROAD
Practice Address - Street 2:
Practice Address - City:RONCO
Practice Address - State:PA
Practice Address - Zip Code:15476
Practice Address - Country:US
Practice Address - Phone:724-550-6621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health