MEDICARE: RELIABLE FAMILY SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1174468961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIABLE FAMILY SERVICES LLC

Provider Business Mailing Address
First Line	:	1951 N DR MARTIN LUTHER KING DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-3641
Country	:	US
Telephone Number	:	414-807-6656
Fax Number	:	414-807-6656

Provider Business Practice Location Address
First Line	:	1951 N DR MARTIN LUTHER KING DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-3641
Country	:	US
Telephone Number	:	414-807-6656
Fax Number	:	414-807-6656

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	AISHA JACKSON
Credential	:
Telephone Number	:	414-807-6656

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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