Provider Demographics
NPI: | 1073294435 |
---|---|
Name: | RELIANT HOME HEALTHCARE SERVICE, LLC |
Entity type: | Organization |
Organization Name: | RELIANT HOME HEALTHCARE SERVICE, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | INDIRA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ADHIKARI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 614-218-9240 |
Mailing Address - Street 1: | 7548 SLATE RIDGE BLVD |
Mailing Address - Street 2: | |
Mailing Address - City: | REYNOLDSBURG |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 43068-3156 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 614-655-8329 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 6465 E BROAD ST STE A2 |
Practice Address - Street 2: | |
Practice Address - City: | COLUMBUS |
Practice Address - State: | OH |
Practice Address - Zip Code: | 43213-1576 |
Practice Address - Country: | US |
Practice Address - Phone: | 614-655-8205 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-07-28 |
Last Update Date: | 2023-08-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care |
No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |