MEDICARE: RELIANT CONCIERGE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1649641432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIANT CONCIERGE CARE LLC

Provider Business Mailing Address
First Line	:	3033 W PRESIDENT GEORGE BUSH HWY # 150
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-5752
Country	:	US
Telephone Number	:	512-799-2651
Fax Number	:

Provider Business Practice Location Address
First Line	:	3033 W PRESIDENT GEORGE BUSH HWY # 150
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-5752
Country	:	US
Telephone Number	:	972-359-7699
Fax Number	:

Authorized Official
Title or Position	:	VP CLINICAL ADMINISTRATION
Name	:	CASEY ALLEN WILSON
Credential	:	RN
Telephone Number	:	936-856-6888

Provider Enumeration Date	:	10/19/2015
Last Update Date	:	07/28/2021

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Directions to “RELIANT CONCIERGE CARE LLC ” Practice Location

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