Provider Demographics
NPI:1740385269
Name:RELIABLE MEDICAL & HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:RELIABLE MEDICAL & HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:NNEKA
Authorized Official - Last Name:NWANGUMA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-602-6493
Mailing Address - Street 1:222 MILFORD MILL RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6000
Mailing Address - Country:US
Mailing Address - Phone:410-602-6493
Mailing Address - Fax:410-602-8449
Practice Address - Street 1:222 MILFORD MILL RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-6000
Practice Address - Country:US
Practice Address - Phone:410-602-6493
Practice Address - Fax:410-602-8449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
164W00000X
MDR2232332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0959031-00Medicaid
MD406345700Medicaid
MD406345700Medicaid