Healthcare Provider Details

I. General information

NPI: 1295608065
Provider Name (Legal Business Name): RELIABLE CARE HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3522 HABERSHAM AT NORTHLAKE
TUCKER GA
30084-4009
US

IV. Provider business mailing address

3522 HABERSHAM AT NORTHLAKE
TUCKER GA
30084-4009
US

V. Phone/Fax

Practice location:
  • Phone: 678-799-4424
  • Fax: 404-935-5277
Mailing address:
  • Phone: 678-799-4424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DEEQA ABDI
Title or Position: OWNER
Credential:
Phone: 678-799-4424