Provider Demographics
NPI:1497400055
Name:RELIABLE HOMECARE LLC.
Entity Type:Organization
Organization Name:RELIABLE HOMECARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:THEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-443-8721
Mailing Address - Street 1:99 STONEBRIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-6086
Mailing Address - Country:US
Mailing Address - Phone:786-443-8721
Mailing Address - Fax:
Practice Address - Street 1:99 STONEBRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-6086
Practice Address - Country:US
Practice Address - Phone:678-857-3128
Practice Address - Fax:678-857-3128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-12
Last Update Date:2022-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care