Reliacare, LTD

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1009448 Issued in IL

Legal business name

RELIACARE, LTD

Practice address

6900 Main St
Suite 130
Downers Grove, IL 60516-3454

Phone

(630) 960-5100

Fax

(630) 960-5181

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Avani Shah

Title

President

Phone

(630) 960-5100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 147693

Legal name

RELIACARE LTD

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 12, 1997

Last certification

Feb 4, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Mar 17, 1997 in IL

Enrollment address

1263 S Highland Ave
Ste 2H
Lombard, IL 60148-4571
HHA Branch

Listed as

Reliacare LTD.CCN 147693 · All quality measures

Ownership

Proprietary

Certified

Sep 12, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Premesh Malapati, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1730136763

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1174619324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 MAIN ST",
            "address_2": "SUITE 130",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163454",
            "telephone_number": "630-960-5100",
            "fax_number": "630-960-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 MAIN ST",
            "address_2": "SUITE 130",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163454",
            "telephone_number": "630-960-5100",
            "fax_number": "630-960-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIACARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AVANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-960-5100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1009448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehabon LLC (Rehabon Physical Therapy)
• Carol Ann Reid, PSY.D.
• Amy S Reilly, AU.D.
• Scott A Reishus, DO
• Reliable Medical Equipment Supply Inc
• Steven Neil Rembos, DPM
• Remedi Seniorcare of Chicago, LLC
• Jan Starr Remer-Osborn, PH.D.
• Gary H Rempert, DDS
• Renew Physical Therapy

• Home Health Agency in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.

Verify at the official NPI Registry.