Provider Demographics
NPI:1366468324
Name:RELIABLE HEALTHCARE SERVICE LLC
Entity Type:Organization
Organization Name:RELIABLE HEALTHCARE SERVICE LLC
Other - Org Name:RELIABLE HEALTHCARE SERVICE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SLAUGHTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-283-8538
Mailing Address - Street 1:220 FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:PARK FOREST BLVD
Mailing Address - State:IL
Mailing Address - Zip Code:60466
Mailing Address - Country:US
Mailing Address - Phone:708-283-8538
Mailing Address - Fax:708-283-8817
Practice Address - Street 1:220 FOREST BLVD
Practice Address - Street 2:
Practice Address - City:PARK FOREST BLVD
Practice Address - State:IL
Practice Address - Zip Code:60466
Practice Address - Country:US
Practice Address - Phone:708-283-8538
Practice Address - Fax:708-283-8817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Not Answered164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
Not Answered372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
Not Answered376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty