Healthcare Provider Details

I. General information

NPI: 1083885628
Provider Name (Legal Business Name): RELIABLE STAFFING SOLUTIONS-PHOENIX, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2008
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4747 N 7TH ST STE 160
PHOENIX AZ
85014-3655
US

IV. Provider business mailing address

4747 N 7TH ST STE 160
PHOENIX AZ
85014-3655
US

V. Phone/Fax

Practice location:
  • Phone: 602-604-0900
  • Fax: 602-604-0906
Mailing address:
  • Phone: 602-604-0900
  • Fax: 602-604-0906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHHA5018
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHHA5018
License Number StateAZ

VIII. Authorized Official

Name: MR. MICHAEL THOMAS JOHNSON
Title or Position: OWNER
Credential:
Phone: 520-495-0257