Provider Demographics
NPI:1093735680
Name:RELIANT HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:RELIANT HOME CARE SERVICES LLC
Other - Org Name:RELIANT HEALTH CARE SERVICES LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYANWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-595-0128
Mailing Address - Street 1:2723 EVENING SHADE CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-5236
Mailing Address - Country:US
Mailing Address - Phone:281-595-0128
Mailing Address - Fax:281-595-0128
Practice Address - Street 1:2723 EVENING SHADE CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-5236
Practice Address - Country:US
Practice Address - Phone:281-595-0128
Practice Address - Fax:281-595-0128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008726251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX453190Medicare ID - Type Unspecified