Provider Demographics
NPI:1952140519
Name:TREASURE RELIABLE CARE LLC
Entity type:Organization
Organization Name:TREASURE RELIABLE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TESSY
Authorized Official - Middle Name:O
Authorized Official - Last Name:OTASOWIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-316-1109
Mailing Address - Street 1:7744 ASTRA CIR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-9760
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1395 E DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3313
Practice Address - Country:US
Practice Address - Phone:614-581-7543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health