Provider Demographics
NPI:1851877690
Name:RELIABLE CARE LLC
Entity Type:Organization
Organization Name:RELIABLE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:
Authorized Official - First Name:ROUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-899-0628
Mailing Address - Street 1:2762 FARMDALE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-3870
Mailing Address - Country:US
Mailing Address - Phone:586-899-0628
Mailing Address - Fax:248-250-8914
Practice Address - Street 1:2762 FARMDALE DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-3870
Practice Address - Country:US
Practice Address - Phone:586-899-0628
Practice Address - Fax:248-250-8914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI8069747Medicaid