Provider Demographics
NPI:1083885628
Name:RELIABLE STAFFING SOLUTIONS-PHOENIX, L.L.C.
Entity Type:Organization
Organization Name:RELIABLE STAFFING SOLUTIONS-PHOENIX, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-495-0257
Mailing Address - Street 1:4747 N 7TH ST STE 160
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-3655
Mailing Address - Country:US
Mailing Address - Phone:602-604-0900
Mailing Address - Fax:602-604-0906
Practice Address - Street 1:4747 N 7TH ST STE 160
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-3655
Practice Address - Country:US
Practice Address - Phone:602-604-0900
Practice Address - Fax:602-604-0906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251E00000X
AZHHA5018251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care