Reliance Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

362346 Issued in MN

Legal business name

RELIANCE HEALTHCARE

Practice address

11108 Cresthaven TRL
Woodbury, MN 55129-6804

Phone

(651) 337-2486

NPI assigned

May 13, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Evaristus N Boh

Title

Ceo/President

Phone

(612) 337-7876

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1053757435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11108 CRESTHAVEN TRL",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551296804",
            "telephone_number": "651-337-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11108 CRESTHAVEN TRL",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551296804",
            "telephone_number": "651-337-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "BOH",
        "authorized_official_first_name": "EVARISTUS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "612-337-7876",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "362346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regions Hospital
• Jamie Rei
• Alexandra Staum Reif, CPNP
• Kelsey Reineke
• Reliable Quality Care LLC
• Brent Joseph Reller
• Renewal Counseling Services, Inc.
• Samuel Renier
• Reproductive Medicine and Infertility Associates
• Resiliency and Health Institute, LLC

• Home Health Agency in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.