Provider Demographics
NPI:1518401769
Name:RELIABLE HOME CARE SERICES CORP.
Entity Type:Organization
Organization Name:RELIABLE HOME CARE SERICES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:RYZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-257-3700
Mailing Address - Street 1:5209 VAN LOON ST
Mailing Address - Street 2:1FLOOR
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4232
Mailing Address - Country:US
Mailing Address - Phone:929-424-3212
Mailing Address - Fax:929-424-3246
Practice Address - Street 1:5209 VAN LOON ST
Practice Address - Street 2:1FLOOR
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4232
Practice Address - Country:US
Practice Address - Phone:929-424-3212
Practice Address - Fax:929-424-3246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2386L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health