Healthcare Provider Details

I. General information

NPI: 1932564465
Provider Name (Legal Business Name): RELIABLE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2015
Last Update Date: 12/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15205 JERRINGTON COURT
BOWIE MD
20721
US

IV. Provider business mailing address

15205 JERRINGTON CT
BOWIE MD
20721-7270
US

V. Phone/Fax

Practice location:
  • Phone: 443-822-1188
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. NICAR ALEAHMBONG
Title or Position: OWNER
Credential:
Phone: 443-822-1188