Provider Demographics
NPI:1811351026
Name:RELIABLE VISITING SERVICES, LLC
Entity type:Organization
Organization Name:RELIABLE VISITING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:HOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:CFNP
Authorized Official - Phone:248-417-1008
Mailing Address - Street 1:23300 GREENFIELD RD
Mailing Address - Street 2:SUITE 222
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-5237
Mailing Address - Country:US
Mailing Address - Phone:248-417-1008
Mailing Address - Fax:248-796-0271
Practice Address - Street 1:23300 GREENFIELD RD
Practice Address - Street 2:SUITE 222
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-5237
Practice Address - Country:US
Practice Address - Phone:248-417-1008
Practice Address - Fax:248-796-0271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-13
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704210540363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty