Organization Active NPI

Reliable Human Services, Inc.

  • Exclusive Provider Organization
  • Brooklyn Center, MN
National Provider Identifier
1437208808
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
747912000 Issued in MN
Legal business name
RELIABLE HUMAN SERVICES, INC.
Practice address
5701 Shingle Creek Pkwy Ste 470
Brooklyn Center, MN 55430-2519
Phone
(763) 442-5136
Fax
(763) 316-6852
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Mr. Christian Kanmue Kolleh, MSW
Title
Executive Director
Phone
(763) 442-5136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 747912000 MN Primary

Addresses

Primary practice location

5701 Shingle Creek Pkwy Ste 470
Brooklyn Center, MN 55430-2519

Mailing address

5701 Shingle Creek Pkwy Ste 470
Brooklyn Center, MN 55430-2519
Phone (763) 442-5136

Other identifiers 1

IdentifierTypeStateIssuer
747912000MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Reliable Human Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5701 Shingle Creek Pkwy
Ste 470
Brooklyn Center, MN 55430
Phone (763) 442-5136

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1437208808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY STE 470",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302519",
            "telephone_number": "763-442-5136",
            "fax_number": "763-316-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY STE 470",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302519",
            "telephone_number": "763-442-5136",
            "fax_number": "763-316-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "KOLLEH",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "KANMUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-442-5136",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MN",
            "license": "747912000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "747912000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.