Healthcare Provider Details

I. General information

NPI: 1114853090
Provider Name (Legal Business Name): RELIABLE FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 WYOMING AVE STE 4
CINCINNATI OH
45215-4463
US

IV. Provider business mailing address

515 WYOMING AVE STE 4
CINCINNATI OH
45215-4463
US

V. Phone/Fax

Practice location:
  • Phone: 513-818-2712
  • Fax:
Mailing address:
  • Phone: 513-818-2712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: JAJA STOUDEMIRE
Title or Position: OWNER
Credential:
Phone: 216-571-3185