Healthcare Provider Details

I. General information

NPI: 1356785646
Provider Name (Legal Business Name): RELIANCE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2013
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE SUNRISE MALL (1025)
MASSAPEQUA NY
11758
US

IV. Provider business mailing address

ONE SUNRISE MALL (1025)
MASSAPEQUA NY
11758
US

V. Phone/Fax

Practice location:
  • Phone: 516-308-4840
  • Fax: 516-809-9338
Mailing address:
  • Phone: 516-308-4840
  • Fax: 516-809-9338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. DANA LYN ARNONE
Title or Position: OWNER
Credential: RN
Phone: 516-314-6398