Organization Active NPI

Reliable Home Care Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Rolla, MO
National Provider Identifier
1376763292
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
RELIABLE HOME CARE INC
Practice address
1106 Laguille CT
Rolla, MO 65401-3440
Phone
(537) 341-1103
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jackie Lee Tucker Jr.
Title
Preisdent
Phone
(573) 431-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1106 Laguille CT
Rolla, MO 65401-3440

Mailing address

509 E Chestnut St
Desloge, MO 63601-3307
Phone (573) 431-1010

National Provider Directory

National Provider Directory
Tax ID family
Reliable Home Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376763292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E CHESTNUT ST",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636013307",
            "telephone_number": "573-431-1010",
            "fax_number": "573-431-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 LAGUILLE CT",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013440",
            "telephone_number": "537-341-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PREISDENT",
        "authorized_official_telephone_number": "573-431-1010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.