MEDICARE: STONERISE RELIABLE HEALTHCARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1548779176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STONERISE RELIABLE HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	10123 ALLIANCE RD
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-4887
Country	:	US
Telephone Number	:	513-530-1808
Fax Number	:

Provider Business Practice Location Address
First Line	:	299 1/2 N STATE ROUTE 2
Second Line	:
City	:	NEW MARTINSVILLE
State	:	WV
Zip	:	26155-2243
Country	:	US
Telephone Number	:	304-455-0350
Fax Number	:	304-455-1512

Authorized Official
Title or Position	:	TREASURER
Name	:	CHARLES STOLTZ
Credential	:
Telephone Number	:	513-530-1808

Provider Enumeration Date	:	09/27/2017
Last Update Date	:	09/17/2025

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