Healthcare Provider Details

I. General information

NPI: 1548108483
Provider Name (Legal Business Name): RELIANT SENIOR LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10695 W 17TH AVE
LAKEWOOD CO
80215-2700
US

IV. Provider business mailing address

5800 GRANITE PKWY STE 325
PLANO TX
75024-6898
US

V. Phone/Fax

Practice location:
  • Phone: 972-447-9800
  • Fax:
Mailing address:
  • Phone: 972-447-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: AUSTIN LANHAM
Title or Position: CHIEF LEGAL AND ADMIN OFFICER
Credential:
Phone: 972-295-9668