Provider Demographics
NPI:1598498891
Name:LINEOGS RELIABLE HOME CARE LLC
Entity Type:Organization
Organization Name:LINEOGS RELIABLE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:OGIDI
Authorized Official - Last Name:URUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-414-3229
Mailing Address - Street 1:PO BOX 18262
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27619-8262
Mailing Address - Country:US
Mailing Address - Phone:919-414-3229
Mailing Address - Fax:
Practice Address - Street 1:4312 WAKE FOREST RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6160
Practice Address - Country:US
Practice Address - Phone:919-414-3229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-05
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health