Provider Demographics
NPI:1538139894
Name:RELIANCE HOME HEALTH CARE SOLUTIONS
Entity Type:Organization
Organization Name:RELIANCE HOME HEALTH CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-229-7962
Mailing Address - Street 1:1400 N CHURCH ST
Mailing Address - Street 2:SUITE 113, BOX 5
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-2774
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1400 N CHURCH ST
Practice Address - Street 2:SUITE 113, BOX 5
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-2774
Practice Address - Country:US
Practice Address - Phone:336-229-7962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3212251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601407Medicaid