Healthcare Provider Details

I. General information

NPI: 1346175296
Provider Name (Legal Business Name): RELIANT ADULT FAMILY HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8112 N KIMBERLY CT
SPOKANE WA
99208-9283
US

IV. Provider business mailing address

8112 N KIMBERLY CT
SPOKANE WA
99208-9283
US

V. Phone/Fax

Practice location:
  • Phone: 737-287-5743
  • Fax:
Mailing address:
  • Phone: 737-287-5743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number State

VIII. Authorized Official

Name: KAREN TAPIWA CHIDA
Title or Position: PROVIDER
Credential: MD
Phone: 737-287-5743