MEDICARE: RELIANCE FAMILY CARE SERVICES INC.

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	164W00000X	Licensed Practical Nurse		PA
2	251E00000X	Home Health Agency	21403601	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	102549501	OTHER	PA	MPI #
2	164W00000X	OTHER	PA	LPN TAXONOMY
3	21403601	OTHER	PA	DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1356636617
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIANCE FAMILY CARE SERVICES INC.

Provider Business Mailing Address
First Line	:	2146 S BROAD ST
Second Line	:	2ND FL
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-3905
Country	:	US
Telephone Number	:	267-519-0672
Fax Number	:

Provider Business Practice Location Address
First Line	:	2146 S BROAD ST
Second Line	:	2ND FL
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-3905
Country	:	US
Telephone Number	:	267-519-0672
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. ERNEST G COLE
Credential	:	MA
Telephone Number	:	267-519-0672

Provider Enumeration Date	:	06/15/2011
Last Update Date	:	05/24/2012

Similar Medicare Providers

1215973821 — STEVEN R WEASEN
Practice Location Address:

2146 S BROAD ST , 1ST FLOOR
PHILADELPHIA, PA
19145-3905

Practice Phone: 215-463-3939
Practice Fax:

1811147770 — VINCENT Y LIN DDS
Practice Location Address:

2142 S BROAD ST
PHILADELPHIA, PA
19145-3905

Practice Phone: 215-468-5334
Practice Fax: 215-468-5334

1710252010 — MR. PATRICK JAJUA
Practice Location Address:

2146 S BROAD ST , SECOND FLOOR
PHILADELPHIA, PA
19145-3905

Practice Phone: 267-519-0672
Practice Fax:

1073888384 — MR. PETER MANGA
Practice Location Address:

2146 S BROAD ST , 2FLOOR
PHILADELPHIA, PA
19145-3905

Practice Phone: 267-519-0672
Practice Fax:

1861853962 — RITECHOICE PHARMACY III
Practice Location Address:

2100 S BROAD ST FL 1
PHILADELPHIA, PA
19145-3905

Practice Phone: 215-500-2223
Practice Fax:

1114559713 — BROAD AND SNYDER PHARMACY P C
Practice Location Address:

2108 S BROAD ST FL 1
PHILADELPHIA, PA
19145-3905

Practice Phone: 267-324-3039
Practice Fax: 267-519-2192

Directions to “RELIANCE FAMILY CARE SERVICES INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.