Provider Demographics
NPI:1215318506
Name:RELIANT HOME HEALTH INC.
Entity type:Organization
Organization Name:RELIANT HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:ASONGANYI
Authorized Official - Last Name:MBEBOH
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICIAN ASSISTANT
Authorized Official - Phone:443-928-5699
Mailing Address - Street 1:677 SPRING MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21158-4432
Mailing Address - Country:US
Mailing Address - Phone:443-928-5699
Mailing Address - Fax:410-941-2766
Practice Address - Street 1:677 SPRING MEADOW DR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21158-4432
Practice Address - Country:US
Practice Address - Phone:443-928-5699
Practice Address - Fax:410-941-2766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-12
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3113251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management