Basic Information
| Provider Information | |||||||||
| NPI: | 1467856690 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RELIABLE HEALTHCARE SOLUTIONS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5000 GREENBAG RD | ||||||||
| Address2: | SUITE F8 | ||||||||
| City: | MORGANTOWN | ||||||||
| State: | WV | ||||||||
| PostalCode: | 265017163 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3042124342 | ||||||||
| FaxNumber: | 3042415123 | ||||||||
| Practice Location | |||||||||
| Address1: | 5000 GREENBAG RD | ||||||||
| Address2: | SUITE F8 | ||||||||
| City: | MORGANTOWN | ||||||||
| State: | WV | ||||||||
| PostalCode: | 265017163 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3042124342 | ||||||||
| FaxNumber: | 3042415123 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2014 | ||||||||
| LastUpdateDate: | 10/17/2014 | ||||||||
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| AuthorizedOfficialLastName: | HOPKINS | ||||||||
| AuthorizedOfficialFirstName: | MICHELLE | ||||||||
| AuthorizedOfficialMiddleName: | LEE | ||||||||
| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR OF OPERATIONS | ||||||||
| AuthorizedOfficialTelephone: | 3042124342 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | MSW MPA LGSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 253Z00000X | Y | Agencies | In Home Supportive Care |
ID Information
| ID | Type | State | Issuer | Description | 3810017974 | 05 | WV | MEDICAID |