Provider Demographics
NPI:1073345443
Name:RELIABLE NURSING SERVICES LLC
Entity type:Organization
Organization Name:RELIABLE NURSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUDELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLIVAR HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-460-4874
Mailing Address - Street 1:1331 OSPREY WAY
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-2373
Mailing Address - Country:US
Mailing Address - Phone:407-722-4418
Mailing Address - Fax:
Practice Address - Street 1:235 N WESTMONTE DR STE 226
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3345
Practice Address - Country:US
Practice Address - Phone:321-460-4874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care