Organization Active NPI

Reliable Home Support, LLC

  • In Home Supportive Care Agency
  • Portland, ME
National Provider Identifier
1245716265
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RELIABLE HOME SUPPORT, LLC
Practice address
75 Bishop St
Portland, ME 04103-2614
Phone
(207) 956-7013
NPI assigned
Jul 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Sharif Hassan
Title
Owner
Phone
(612) 800-3159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

75 Bishop St
Portland, ME 04103-2614

Mailing address

75 Bishop St Ste 19
Portland, ME 04103-2614
Phone (207) 956-7013

National Provider Directory

National Provider Directory

Locations

75 Bishop St
Portland, ME 04103
Phone (207) 510-7680

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1245716265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BISHOP ST STE 19",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032614",
            "telephone_number": "207-956-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BISHOP ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032614",
            "telephone_number": "207-956-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE HOME SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "SHARIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-800-3159"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.