Healthcare Provider Details

I. General information

NPI: 1639718919
Provider Name (Legal Business Name): RELIANCE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2020
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2630 CYPRESS RIDGE BLVD STE 104
WESLEY CHAPEL FL
33544-6337
US

IV. Provider business mailing address

20701 BRUCE B DOWNS BLVD STE 201
TAMPA FL
33647-3676
US

V. Phone/Fax

Practice location:
  • Phone: 813-549-7808
  • Fax: 813-549-7813
Mailing address:
  • Phone: 813-616-5393
  • Fax: 813-549-7814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMED 'MARK' A HAMID
Title or Position: PRESIDENT/ OWNER
Credential:
Phone: 813-970-5050