Provider Demographics
NPI:1528225117
Name:RELIABLE HOME IMPROVEMENTS OF OHIO
Entity Type:Organization
Organization Name:RELIABLE HOME IMPROVEMENTS OF OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF S CORP
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-324-6300
Mailing Address - Street 1:4111 SINTZ RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-3811
Mailing Address - Country:US
Mailing Address - Phone:937-324-6300
Mailing Address - Fax:
Practice Address - Street 1:4111 SINTZ RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-3811
Practice Address - Country:US
Practice Address - Phone:937-324-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
No333300000XSuppliersEmergency Response System CompaniesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2211190Medicaid