Healthcare Provider Details

I. General information

NPI: 1215530282
Provider Name (Legal Business Name): RELIABLE PERSONAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2020
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7251 W LAKE MEAD BLVD STE 300
LAS VEGAS NV
89128-8380
US

IV. Provider business mailing address

7251 W LAKE MEAD BLVD STE 300
LAS VEGAS NV
89128-8380
US

V. Phone/Fax

Practice location:
  • Phone: 170-256-2413
  • Fax:
Mailing address:
  • Phone: 170-256-2413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ERICA MARIE KELLY
Title or Position: ADMINISTRATOR
Credential:
Phone: 702-562-4134