Provider Demographics
NPI:1891029054
Name:RELIABLE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:RELIABLE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRADBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-293-1700
Mailing Address - Street 1:5623 WESTERVILLE CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-9634
Mailing Address - Country:US
Mailing Address - Phone:614-592-5088
Mailing Address - Fax:
Practice Address - Street 1:50 CHESTNUT ST STE 224
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45440-1489
Practice Address - Country:US
Practice Address - Phone:937-274-2900
Practice Address - Fax:937-274-2902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1891029054Medicaid