Provider Demographics
NPI:1639718919
Name:RELIANCE HOME CARE, LLC
Entity Type:Organization
Organization Name:RELIANCE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT /CHIEF EXPERIENCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAMID
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:813-549-7808
Mailing Address - Street 1:20701 BRUCE B DOWNS BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3676
Mailing Address - Country:US
Mailing Address - Phone:813-549-7808
Mailing Address - Fax:813-549-7813
Practice Address - Street 1:26843 TANIC DR STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-4618
Practice Address - Country:US
Practice Address - Phone:813-549-7808
Practice Address - Fax:813-549-7813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health