MEDICARE: RELIABLE HOME CARE 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	3747P1801X	Personal Care Attendant
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1447149950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIABLE HOME CARE LLC

Provider Business Mailing Address
First Line	:	12201 GAYTON RD STE 201B
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23238-8203
Country	:	US
Telephone Number	:	505-570-0298
Fax Number	:	804-597-2194

Provider Business Practice Location Address
First Line	:	12201 GAYTON RD STE 201B
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23238-8203
Country	:	US
Telephone Number	:	505-570-0298
Fax Number	:	804-597-2194

Authorized Official
Title or Position	:	OWNER
Name	:	NEHA GUPTA
Credential	:
Telephone Number	:	505-570-0298

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	07/02/2025

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Directions to “RELIABLE HOME CARE LLC ” Practice Location

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