Active NPI
Reliant First Healthcare Services Inc
- Home Health Agency
- Richardson, TX
National Provider Identifier
1104030733
On this page
- Key facts
- Authorized official
- Affiliated clinicians2
- Care Compare: Home health agency
- Laboratory certificates & supplier records
- Medicare participation
- Home health agency certification: CCN 747323
- All disclosed owners & managing parties2
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other names1
- NPI Registry JSON
- Other providers in Richardson, TX
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 011296
- Legal business name
- RELIANT FIRST HEALTHCARE SERVICES INC
- Practice address
- 811 S Central Expy Ste 518
Richardson, TX 75080-7426 - Phone
- (214) 779-7359
- NPI assigned
- May 10, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Fidelia Ifeoma Ogbolu, RN
- Title
- Administrator
- Phone
- (214) 779-7359
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adult Health Nurse Practitioner
- Fort Worth, TX
- NPI 1528005758
Home health agency
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Reliant Healthcare Services
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 7, 2010
- Medicare certification status
- Active
- Services
- Nursing
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1077818 | Reliant First Healthcare Services | Certificate of waiver | Dec 18, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Home health agency certification: CCN 747323
Medicare enrollment files- Legal name
- RELIANT FIRST HEALTHCARE SERVICES INC
- Doing business as
- RELIANT HEALTHCARE SERVICES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 7, 2010
- Last certification
- Mar 22, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 25, 2006 in TX
- Enrollment address
- 811 South Central Expressway
Suite 518
Richardson, TX 75080
All disclosed owners & managing parties 2
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Dieudonne Somo | 5% Or Greater Direct Ownership Interest | Nov 10, 2017 | 50% |
| Corporate Director | Nov 10, 2017 | 50% | |
| Operational/Managerial Control | Nov 10, 2017 | 50% | |
| Innocent Umelloh | 5% Or Greater Direct Ownership Interest | Nov 10, 2017 | 50% |
| Corporate Director | Nov 10, 2017 | 50% | |
| Operational/Managerial Control | Nov 10, 2017 | 50% |
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080305000236 | TX | Part a Provider - Home Health Agency | 2466537162 | Practice locations: Richardson, TX |
National Provider Directory
National Provider DirectoryLocations
811 S Central Expy
Ste 518
Richardson, TX 75080
Phone (214) 779-7359
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 011296 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
811 S Central Expy Ste 518
Richardson, TX 75080-7426
Mailing address
811 S Central Expy Ste 518
Richardson, TX 75080-7426
Phone (214) 779-7359
Other names 1
NPPES NPI Registry- Reliant HealthCare Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2015.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432080000000",
"number": "1104030733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 S CENTRAL EXPY STE 518",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750807426",
"telephone_number": "214-779-7359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 S CENTRAL EXPY STE 518",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750807426",
"telephone_number": "214-779-7359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIANT FIRST HEALTHCARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2015-05-20",
"status": "A",
"authorized_official_last_name": "OGBOLU",
"authorized_official_first_name": "FIDELIA",
"authorized_official_middle_name": "IFEOMA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-779-7359",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "011296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Reliant HealthCare Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.