Organization Active NPI

Reliant Acute Care, LLC

  • Adult Medicine Physician
  • Lehigh Acres, FL
National Provider Identifier
1265978290
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
020403904MedicaidFL
020403900MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.