Provider Demographics
NPI:1942704457
Name:RELIABLE HOME CARE SUPPORT LLC
Entity Type:Organization
Organization Name:RELIABLE HOME CARE SUPPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TOUZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-696-4010
Mailing Address - Street 1:5741 PEMBROKE RD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33023-2337
Mailing Address - Country:US
Mailing Address - Phone:954-696-4010
Mailing Address - Fax:954-272-7343
Practice Address - Street 1:5741 PEMBROKE RD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023-2337
Practice Address - Country:US
Practice Address - Phone:954-696-4010
Practice Address - Fax:954-272-7343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty