Provider Demographics
NPI:1023349594
Name:RELIANCE HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:RELIANCE HOME CARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN-PIERRE
Authorized Official - Middle Name:LEON GASTON
Authorized Official - Last Name:LEDUC
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-789-2525
Mailing Address - Street 1:12615 BLUE SKY DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-4496
Mailing Address - Country:US
Mailing Address - Phone:301-789-2525
Mailing Address - Fax:301-789-1705
Practice Address - Street 1:2121 EISENHOWER AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4698
Practice Address - Country:US
Practice Address - Phone:703-340-8570
Practice Address - Fax:301-789-1705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-24
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-10625251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health