Provider Demographics
NPI:1720826381
Name:RELIANT HOUSECALLS, PLLC
Entity type:Organization
Organization Name:RELIANT HOUSECALLS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:860-268-3439
Mailing Address - Street 1:7539 CHASEWATER DR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-0017
Mailing Address - Country:US
Mailing Address - Phone:860-573-4121
Mailing Address - Fax:704-456-7614
Practice Address - Street 1:7539 CHASEWATER DR
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-0017
Practice Address - Country:US
Practice Address - Phone:860-573-4121
Practice Address - Fax:704-456-7614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty