Provider Demographics
NPI:1477717437
Name:RELIABLE CARE LLC
Entity Type:Organization
Organization Name:RELIABLE CARE LLC
Other - Org Name:RELIABLE CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:NWEKE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:301-947-9545
Mailing Address - Street 1:849 QUINCE ORCHARD BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1683
Mailing Address - Country:US
Mailing Address - Phone:301-947-9545
Mailing Address - Fax:301-947-9548
Practice Address - Street 1:849 QUINCE ORCHARD BLVD STE H
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1683
Practice Address - Country:US
Practice Address - Phone:301-947-9545
Practice Address - Fax:301-947-9548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2139251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403679400Medicaid