Provider Demographics
NPI:1295608065
Name:RELIABLE CARE HOME LLC
Entity type:Organization
Organization Name:RELIABLE CARE HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEEQA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-799-4424
Mailing Address - Street 1:534 SPRING CHASE CIR
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-7504
Mailing Address - Country:US
Mailing Address - Phone:678-799-4424
Mailing Address - Fax:404-935-5277
Practice Address - Street 1:534 SPRING CHASE CIR
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-7504
Practice Address - Country:US
Practice Address - Phone:678-799-4424
Practice Address - Fax:404-935-5277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health