Provider Demographics
NPI:1528396454
Name:RELIABLE IN HOME CARE, LLC
Entity Type:Organization
Organization Name:RELIABLE IN HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRECIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:BERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMINOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-709-5712
Mailing Address - Street 1:17961 N 92ND WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6033
Mailing Address - Country:US
Mailing Address - Phone:408-709-5712
Mailing Address - Fax:480-907-5834
Practice Address - Street 1:17961 N 92ND WAY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6033
Practice Address - Country:US
Practice Address - Phone:408-709-5712
Practice Address - Fax:480-907-5834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-04
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ253Z00000X253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care