Healthcare Provider Details

I. General information

NPI: 1124931845
Provider Name (Legal Business Name): RELIABLE HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22752 SHORE CENTER DR
EUCLID OH
44123-1616
US

IV. Provider business mailing address

22752 SHORE CENTER DR
EUCLID OH
44123-1616
US

V. Phone/Fax

Practice location:
  • Phone: 216-527-5500
  • Fax:
Mailing address:
  • Phone: 216-527-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: INDIA R CAMPBELL
Title or Position: OWNER/ AUTHORIZED OFFICIAL
Credential: LPN
Phone: 216-527-5500