Healthcare Provider Details

I. General information

NPI: 1427988153
Provider Name (Legal Business Name): RELIANT SENIOR LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1093 S HILTON ST
BOISE ID
83705-1971
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: 866-226-8452
Mailing address:
  • Phone: 972-484-3845
  • Fax: 866-226-8452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KIMBERLY ANN MCNARY
Title or Position: VICE PRESIDENT OF RCM
Credential:
Phone: 972-848-3845