Reliance Health Source LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

RELIANCE HEALTH SOURCE LLC

Doing business as

In Home Quality Care

Practice address

300 S Westgate Dr Ste a
Greensboro, NC 27407-1640

Phone

(336) 844-4684

Fax

(336) 740-9342

NPI assigned

Aug 12, 2014

Last updated

Nov 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tamara Asad Barnette

Title

Director

Phone

(336) 844-4684

Specialties & licenses 3

Addresses

Other names 1

• In Home Quality Care Doing business as

Tax ID family

In Home Quality Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Reliance Health Source LLC

  • In Home Supportive Care Agency
  • Greensboro, NC
  • NPI 1922494426
  NPD tax ID

Locations

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1124437371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S WESTGATE DR STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071640",
            "telephone_number": "336-844-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S WESTGATE DR STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071640",
            "telephone_number": "336-844-4684",
            "fax_number": "336-740-9342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Terrace Way Ste D",
            "address_2": "Box #10",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274033663",
            "country_code": "US",
            "telephone_number": "336-844-4684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RELIANCE HEALTH SOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "BARNETTE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "ASAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-844-4684",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In Home Quality Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.