Healthcare Provider Details

I. General information

NPI: 1427664457
Provider Name (Legal Business Name): RELIANCE HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2020
Last Update Date: 09/16/2020
Certification Date: 09/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23125 VOSE ST
WEST HILLS CA
91307-2230
US

IV. Provider business mailing address

23125 VOSE ST
WEST HILLS CA
91307-2230
US

V. Phone/Fax

Practice location:
  • Phone: 310-593-1391
  • Fax:
Mailing address:
  • Phone: 310-593-1391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DIANA SAEEDI
Title or Position: MANAGER
Credential:
Phone: 310-593-1391