Healthcare Provider Details

I. General information

NPI: 1124938311
Provider Name (Legal Business Name): RELIABLE HOME CARE AND EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 E SPRING ST
COOKEVILLE TN
38501-3313
US

IV. Provider business mailing address

414 E SPRING ST
COOKEVILLE TN
38501-3313
US

V. Phone/Fax

Practice location:
  • Phone: 931-319-0433
  • Fax:
Mailing address:
  • Phone: 931-319-0433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ROBERT YOUNG
Title or Position: ADMINISTRATOR
Credential:
Phone: 931-319-0433