Healthcare Provider Details

I. General information

NPI: 1548996911
Provider Name (Legal Business Name): RELIANT AT HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2022
Last Update Date: 01/03/2023
Certification Date: 01/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 FORREST ST STE 100
CONSHOHOCKEN PA
19428-1426
US

IV. Provider business mailing address

1145 FORREST ST STE 100
CONSHOHOCKEN PA
19428-1426
US

V. Phone/Fax

Practice location:
  • Phone: 610-306-0223
  • Fax:
Mailing address:
  • Phone: 610-306-0223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID J GOLDENBERG
Title or Position: PRESIDENT
Credential:
Phone: 610-306-0223