Organization Active NPI

Reliable Behavior Home Care LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Goodyear, AZ
National Provider Identifier
1285325118
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
RELIABLE BEHAVIOR HOME CARE LLC
Practice address
476 S 176TH Dr
Goodyear, AZ 85338-4618
Phone
(857) 505-5441
NPI assigned
May 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Guito Etienne
Title
Owner/ Manager
Phone
(857) 505-5441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

476 S 176TH Dr
Goodyear, AZ 85338-4618

Mailing address

476 S 176TH Dr
Goodyear, AZ 85338-4618
Phone (857) 505-5441

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1285325118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 S 176TH DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384618",
            "telephone_number": "857-505-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 S 176TH DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384618",
            "telephone_number": "857-505-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE BEHAVIOR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "GUITO",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "857-505-5441"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.