Provider Demographics
NPI:1164138558
Name:RENO ENTERPRISES, INC.
Entity Type:Organization
Organization Name:RENO ENTERPRISES, INC.
Other - Org Name:CARING SENIOR SERVICES CANTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:330-417-2083
Mailing Address - Street 1:7093 PARIS AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44641-9595
Mailing Address - Country:US
Mailing Address - Phone:330-417-2083
Mailing Address - Fax:
Practice Address - Street 1:4337 WHIPPLE AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2643
Practice Address - Country:US
Practice Address - Phone:330-754-0133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty