Active NPI
Reliance Family Care Services Inc.
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1356636617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 21403601
- Legal business name
- RELIANCE FAMILY CARE SERVICES INC.
- Practice address
- 2146 S Broad St
2ND FL
Philadelphia, PA 19145-3905 - Phone
- (267) 519-0672
- NPI assigned
- Jun 15, 2011
- 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. Ernest G Cole, MA
- Title
- Executive Director
- Phone
- (267) 519-0672
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PA | ||
| Home Health Agency | 251E00000X | 21403601 | PA | Primary |
Addresses
Primary practice location
2146 S Broad St
2ND FL
Philadelphia, PA 19145-3905
Mailing address
2146 S Broad St
2ND FL
Philadelphia, PA 19145-3905
Phone (267) 519-0672
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102549501 | Other | PA | MPI # |
| 164W00000X | Other | PA | LPN TAXONOMY |
| 21403601 | Other | PA | DEPARTMENT OF HEALTH |
National Provider Directory
National Provider DirectoryLocations
2146 S Broad St
Fl 2
Philadelphia, PA 19145
Phone (267) 519-0672
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- Phila, PA
- NPI 1811262058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337817600000",
"number": "1356636617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2146 S BROAD ST",
"address_2": "2ND FL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191453905",
"telephone_number": "267-519-0672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2146 S BROAD ST",
"address_2": "2ND FL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191453905",
"telephone_number": "267-519-0672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIANCE FAMILY CARE SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-15",
"last_updated": "2012-05-24",
"status": "A",
"authorized_official_last_name": "COLE",
"authorized_official_first_name": "ERNEST",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "267-519-0672",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "21403601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPI #",
"identifier": "102549501",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPN TAXONOMY",
"identifier": "164W00000X",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH",
"identifier": "21403601",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.