Organization Active NPI

Reliable Supportive Home Care LLC

  • Home Health Agency
  • Mount Pocono, PA
National Provider Identifier
1124664057
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RELIABLE SUPPORTIVE HOME CARE LLC
Doing business as
Reliable Supportive Home Care LLC
Practice address
3324 Route 940
Mount Pocono, PA 18344-1184
Phone
(862) 333-8597
NPI assigned
Nov 26, 2019
Last updated
Nov 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Mrs. Tanya S Coke-Rashford, CEO
Title
Ceo/President
Phone
(862) 333-8597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3324 Route 940
Mount Pocono, PA 18344-1184

Mailing address

PO Box 683
Pocono Summit, PA 18346-0683
Phone (862) 333-8597

Other names 1

  • Reliable Supportive Home Care LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rshfrdauby@hotmail.com

National Provider Directory

National Provider Directory

Locations

3324 Route 940
Mount Pocono, PA 18344
Phone (272) 219-0900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1124664057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "POCONO SUMMIT",
            "state": "PA",
            "postal_code": "183460683",
            "telephone_number": "862-333-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 ROUTE 940",
            "city": "MOUNT POCONO",
            "state": "PA",
            "postal_code": "183441184",
            "telephone_number": "862-333-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE SUPPORTIVE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "COKE-RASHFORD",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "862-333-8597",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rshfrdauby@hotmail.com",
            "affiliation": "N",
            "address_1": "3324 Route 940",
            "city": "Mount Pocono",
            "state": "PA",
            "country_code": "US",
            "postal_code": "183441184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Reliable Supportive Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pocono, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.