MEDICARE: RELIABLE HOMECARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1689087363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIABLE HOMECARE

Provider Business Mailing Address
First Line	:	1375 KEMPER MEADOW DR
Second Line	:	SUITE 5
City	:	CINCINNATI
State	:	OH
Zip	:	45240-1650
Country	:	US
Telephone Number	:	513-345-0266
Fax Number	:

Provider Business Practice Location Address
First Line	:	1375 KEMPER MEADOW DR
Second Line	:	SUITE 5
City	:	CINCINNATI
State	:	OH
Zip	:	45240-1650
Country	:	US
Telephone Number	:	513-345-0266
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VANESSA LYNN BROWN
Credential	:
Telephone Number	:	513-345-0266

Provider Enumeration Date	:	06/10/2014
Last Update Date	:	06/10/2014

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