Healthcare Provider Details

I. General information

NPI: 1164138558
Provider Name (Legal Business Name): RENO ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4337 WHIPPLE AVE NW
CANTON OH
44718-2643
US

IV. Provider business mailing address

7093 PARIS AVE
LOUISVILLE OH
44641-9595
US

V. Phone/Fax

Practice location:
  • Phone: 330-754-0133
  • Fax:
Mailing address:
  • Phone: 330-417-2083
  • 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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. FRED MITCHELL WALLACE III
Title or Position: SECRETARY/TREASURER
Credential:
Phone: 330-417-2083