Active NPI
Reliable Community Care,LLC
- Home Health Agency
- Brooklyn Center, MN
National Provider Identifier
1134701006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- RELIABLE COMMUNITY CARE,LLC
- Practice address
- 3220 County Road 10 Ste 125
Brooklyn Center, MN 55429-3075 - Phone
- (763) 267-2659
- Fax
- (763) 307-6074
- NPI assigned
- Apr 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence Kerkula
- Title
- Manager
- Phone
- (763) 267-2659
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3220 County Road 10 Ste 125
Brooklyn Center, MN 55429-3075
Mailing address
3220 County Road 10 Ste 125
Brooklyn Center, MN 55429-3075
Phone (763) 267-2659
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Info@reliablecommcare.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Tax ID family
- Reliable Community Carellc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Brooklyn Center, MN
- NPI 1487420766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721779200000",
"number": "1134701006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 COUNTY ROAD 10 STE 125",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554293075",
"telephone_number": "763-267-2659",
"fax_number": "763-307-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 COUNTY ROAD 10 STE 125",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554293075",
"telephone_number": "763-267-2659",
"fax_number": "763-307-6074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIABLE COMMUNITY CARE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-21",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A",
"authorized_official_last_name": "KERKULA",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "763-267-2659"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Info@reliablecommcare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3220 County Road 10 Ste 125",
"city": "Brooklyn Center",
"state": "MN",
"country_code": "US",
"postal_code": "554293075",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.