Active NPI
Reliable Human Services, Inc.
- Exclusive Provider Organization
- Brooklyn Center, MN
National Provider Identifier
1437208808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 747912000
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 747912000 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Reliable Human Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Brooklyn Center, MN
- NPI 1770775462
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.