MEDICARE: RELIABLE HOME 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	:	1588462618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIABLE HOME HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	2625 E GREENWAY PKWY STE 284
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4369
Country	:	US
Telephone Number	:	602-535-0075
Fax Number	:	623-213-7249

Provider Business Practice Location Address
First Line	:	2625 E GREENWAY PKWY STE 284
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4369
Country	:	US
Telephone Number	:	602-535-0075
Fax Number	:	623-213-7249

Authorized Official
Title or Position	:	DIRECTOR OF CLINICAL SERVICES
Name	:	MRS. HAWA SAFFA SONGA
Credential	:	RN, BSN
Telephone Number	:	602-535-0075

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	03/05/2025

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