=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891748869
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RELIANCE HOME MEDICAL EQUIPMENT, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/18/2006
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 48945 VAN DYKE AVE SUITE 14
-----------------------------------------------------
City | SHELBY TOWNSHIP
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48317-2542
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-262-3958
-----------------------------------------------------
Fax | 586-262-3960
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 48945 VAN DYKE AVE SUITE 14
-----------------------------------------------------
City | SHELBY TOWNSHIP
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48317-2542
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-262-3958
-----------------------------------------------------
Fax | 586-262-3960
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | HUSANINDER SINGH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 586-262-3958
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number | B
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------