Healthcare Provider Details

I. General information

NPI: 1881246056
Provider Name (Legal Business Name): RELIABLE HOME HEALTH SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2019
Last Update Date: 07/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2126 WOODSON RD
SAINT LOUIS MO
63114-5616
US

IV. Provider business mailing address

2126 WOODSON RD
SAINT LOUIS MO
63114-5616
US

V. Phone/Fax

Practice location:
  • Phone: 314-427-2650
  • Fax: 314-426-1474
Mailing address:
  • Phone: 314-427-2650
  • Fax: 314-426-1474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHARON SMITH
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 314-427-2650