Healthcare Provider Details

I. General information

NPI: 1831071471
Provider Name (Legal Business Name): RELIANT SENIOR LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12446 S VAN DYKE RD
PLAINFIELD IL
60585-2700
US

IV. Provider business mailing address

5800 GRANITE PKWY STE 325
PLANO TX
75024-6898
US

V. Phone/Fax

Practice location:
  • Phone: 815-216-4042
  • Fax:
Mailing address:
  • Phone: 877-889-5188
  • Fax:

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