Provider Demographics
NPI:1588952097
Name:RELIANT HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:RELIANT HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-817-0475
Mailing Address - Street 1:4500 140TH AVE N
Mailing Address - Street 2:SUITE 119
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762-3803
Mailing Address - Country:US
Mailing Address - Phone:813-817-0475
Mailing Address - Fax:
Practice Address - Street 1:4500 140TH AVE N
Practice Address - Street 2:SUITE 119
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33762-3803
Practice Address - Country:US
Practice Address - Phone:813-817-0475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-18
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health