Organization Active NPI

Relyance Home Care Solutions, LLC

  • In Home Supportive Care Agency
  • Pelham, GA
National Provider Identifier
1245807676
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RELYANCE HOME CARE SOLUTIONS, LLC
Practice address
155 W Railroad St S
Pelham, GA 31779-1631
Phone
(229) 854-8497
NPI assigned
Jun 4, 2021
Last updated
Jun 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Akina S Davis
Title
Administrator/Owner
Phone
(229) 854-8497

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Nursing Care Agency 251J00000X NU
Pediatric Skilled Nursing Facility 3140N1450X NU
Private Vehicle 347C00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

155 W Railroad St S
Pelham, GA 31779-1631

Mailing address

530 Thomas Ave
Camilla, GA 31730-2318
Phone (229) 854-8497

National Provider Directory

National Provider Directory

Locations

155 W Railroad St S
Pelham, GA 31779
Phone (229) 854-8497

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1245807676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 THOMAS AVE",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317302318",
            "telephone_number": "229-854-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W RAILROAD ST S",
            "city": "PELHAM",
            "state": "GA",
            "postal_code": "317791631",
            "telephone_number": "229-854-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELYANCE HOME CARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AKINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "229-854-8497"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.