Provider Demographics
NPI:1184753600
Name:RELIANCE HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:RELIANCE HOME HEALTH CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:T
Authorized Official - Last Name:LIGETI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-687-7277
Mailing Address - Street 1:9200 BELVEDERE RD.
Mailing Address - Street 2:SUITE #101
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411
Mailing Address - Country:US
Mailing Address - Phone:561-687-7277
Mailing Address - Fax:888-350-2050
Practice Address - Street 1:9200 BELVEDERE RD.
Practice Address - Street 2:SUITE #101
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411
Practice Address - Country:US
Practice Address - Phone:561-687-7277
Practice Address - Fax:561-687-7277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992241251E00000X
163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108315Medicare Oscar/Certification