Healthcare Provider Details

I. General information

NPI: 1447149950
Provider Name (Legal Business Name): RELIABLE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12201 GAYTON RD STE 201B
HENRICO VA
23238-8203
US

IV. Provider business mailing address

12201 GAYTON RD STE 201B
HENRICO VA
23238-8203
US

V. Phone/Fax

Practice location:
  • Phone: 505-570-0298
  • Fax: 804-597-2194
Mailing address:
  • Phone: 505-570-0298
  • Fax: 804-597-2194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: NEHA GUPTA
Title or Position: OWNER
Credential:
Phone: 505-570-0298