Organization Active NPI

Reliable Home Care for Seniors

  • In Home Supportive Care Agency
  • San Rafael, CA
National Provider Identifier
1407671787
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RELIABLE HOME CARE FOR SENIORS
Doing business as
Reliable Home Care for Seniors
Practice address
4040 Civic Center Dr Ste 200
San Rafael, CA 94903-4187
Phone
(415) 574-9784
NPI assigned
Nov 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Anare Kubuabola
Title
Owner/Manager
Phone
(415) 574-9784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4040 Civic Center Dr Ste 200
San Rafael, CA 94903-4187

Mailing address

4040 Civic Center Dr Ste 200
San Rafael, CA 94903-4187
Phone (415) 574-9784

Other names 1

  • Reliable Home Care for Seniors Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1407671787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 CIVIC CENTER DR STE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034187",
            "telephone_number": "415-574-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 CIVIC CENTER DR STE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034187",
            "telephone_number": "415-574-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE HOME CARE FOR SENIORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "KUBUABOLA",
        "authorized_official_first_name": "ANARE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "415-574-9784"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliable Home Care for Seniors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.