Healthcare Provider Details

I. General information

NPI: 1679338750
Provider Name (Legal Business Name): RELIABLE HOMECARE SERVICES PROVIDER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 DELAWARE AVE STE 428
WILMINGTON DE
19806-4743
US

IV. Provider business mailing address

1207 DELAWARE AVE STE 428
WILMINGTON DE
19806-4743
US

V. Phone/Fax

Practice location:
  • Phone: 484-321-3983
  • Fax:
Mailing address:
  • Phone: 484-321-3983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. BLAIR L BROOKS
Title or Position: PRESIDENT
Credential:
Phone: 484-321-3983