Provider Demographics
NPI:1457022014
Name:RELIABLE SENIOR CARE LLC
Entity Type:Organization
Organization Name:RELIABLE SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAMEKA
Authorized Official - Middle Name:SHANTL
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-512-7548
Mailing Address - Street 1:3267 SNOWY EGRET DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70615-5364
Mailing Address - Country:US
Mailing Address - Phone:337-512-7548
Mailing Address - Fax:337-508-2002
Practice Address - Street 1:3267 SNOWY EGRET DR
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70615-5364
Practice Address - Country:US
Practice Address - Phone:337-512-7548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)