Provider Demographics
NPI:1649641432
Name:RELIANT CONCIERGE CARE LLC
Entity type:Organization
Organization Name:RELIANT CONCIERGE CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP CLINICAL ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:936-856-6888
Mailing Address - Street 1:3033 W PRESIDENT GEORGE BUSH HWY # 150
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-5752
Mailing Address - Country:US
Mailing Address - Phone:512-799-2651
Mailing Address - Fax:
Practice Address - Street 1:3033 W PRESIDENT GEORGE BUSH HWY # 150
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-5752
Practice Address - Country:US
Practice Address - Phone:972-359-7699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care