Active NPI
Reliant Acute Care, LLC
- Adult Medicine Physician
- Lehigh Acres, FL
National Provider Identifier
1265978290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- RELIANT ACUTE CARE, LLC
- Practice address
- 5781 Lee Blvd Unit 105
Lehigh Acres, FL 33971-6338 - Phone
- (239) 265-9760
- Fax
- (239) 491-9128
- NPI assigned
- Jan 14, 2017
- Last updated
- Jul 12, 2019
- 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
- Mr. Lance Chad Haas
- Title
- Administrative Manager/Owner
- Phone
- (239) 265-9760
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | NU | Primary | |
| General Practice Physician | 208D00000X | NU | ||
| Rural Health Clinic/Center | 261QR1300X | NU | ||
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
5781 Lee Blvd Unit 105
Lehigh Acres, FL 33971-6338
Mailing address
5781 Lee Blvd Unit 105
Lehigh Acres, FL 33971-6338
Phone (239) 265-9760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020403904 | Medicaid | FL | |
| 020403900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Los Alamos, NM
- NPI 1790147593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562889600000",
"number": "1265978290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5781 LEE BLVD UNIT 105",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339716338",
"telephone_number": "239-265-9760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5781 LEE BLVD UNIT 105",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339716338",
"telephone_number": "239-265-9760",
"fax_number": "239-491-9128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIANT ACUTE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-14",
"last_updated": "2019-07-12",
"status": "A",
"authorized_official_last_name": "HAAS",
"authorized_official_first_name": "LANCE",
"authorized_official_middle_name": "CHAD",
"authorized_official_title_or_position": "ADMINISTRATIVE MANAGER/OWNER",
"authorized_official_telephone_number": "239-265-9760",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020403904",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020403900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.