Provider Demographics
NPI:1386881654
Name:RELIANCE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:RELIANCE HOME HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BASIL
Authorized Official - Middle Name:I
Authorized Official - Last Name:OHAKOSIM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:217-220-9568
Mailing Address - Street 1:4350 W. LINCOLN HWY #210
Mailing Address - Street 2:RELIANCE HOME HEALTH SERVICES, INC.
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443
Mailing Address - Country:US
Mailing Address - Phone:708-300-6333
Mailing Address - Fax:708-300-6327
Practice Address - Street 1:4350 W. LINCOLN HWY #210
Practice Address - Street 2:RELIANCE HOME HEALTH SERVICES, INC.
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443
Practice Address - Country:US
Practice Address - Phone:708-300-6333
Practice Address - Fax:708-300-6327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010950251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health