Healthcare Provider Details

I. General information

NPI: 1518058924
Provider Name (Legal Business Name): RELIANT CARE MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 WATSON RD SUITE 201
SAINT LOUIS MO
63126-1528
US

IV. Provider business mailing address

9200 WATSON RD SUITE 201
SAINT LOUIS MO
63126-1528
US

V. Phone/Fax

Practice location:
  • Phone: 314-543-3800
  • Fax: 314-543-3880
Mailing address:
  • Phone: 314-543-3800
  • Fax: 314-543-3880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: ASHWIN DUNDOO
Title or Position: GENERAL MANAGER
Credential:
Phone: 314-543-3803