Provider Demographics
NPI:1801388459
Name:RELIANT HOSPICE OF HOUSTON LLC
Entity Type:Organization
Organization Name:RELIANT HOSPICE OF HOUSTON LLC
Other - Org Name:RELIANT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-856-6888
Mailing Address - Street 1:3033 W PRESIDENT GEORGE BUSH HWY STE 150
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-5752
Mailing Address - Country:US
Mailing Address - Phone:972-390-7733
Mailing Address - Fax:
Practice Address - Street 1:19221 I 45 S
Practice Address - Street 2:SUITE 320
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77385-8750
Practice Address - Country:US
Practice Address - Phone:855-637-4339
Practice Address - Fax:877-322-3298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based