Healthcare Provider Details

I. General information

NPI: 1568098051
Provider Name (Legal Business Name): REYNOLDS CARE ALLEGIANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 03/26/2020
Certification Date: 03/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 THREE FORKS DR
KATY TX
77450-4403
US

IV. Provider business mailing address

1314 THREE FORKS DR
KATY TX
77450-4403
US

V. Phone/Fax

Practice location:
  • Phone: 771-350-5775
  • Fax: 713-730-3632
Mailing address:
  • Phone: 713-505-7775
  • Fax: 713-730-3632

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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: FARIDA ABJANI
Title or Position: CEO
Credential: RN, BSN
Phone: 713-505-7775