Organization Active NPI

Reliant@Home LTD

Doing business as Reliant At Home LTD

  • Home Health Agency
  • Noblesville, IN
National Provider Identifier
1437457611
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
11-012546-1 Issued in IN
Legal business name
RELIANT@HOME LTD
Doing business as
Reliant At Home LTD
Practice address
341 Logan St Ste L110
Noblesville, IN 46060-1610
Phone
(317) 674-8453
Fax
(317) 674-8703
NPI assigned
Mar 11, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PDS MANAGEMENT CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Shari L Penticuff, RN, BSN
Title
Administrator/Director
Phone
(317) 674-8453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 11-012546-1 IN Primary

Addresses

Primary practice location

341 Logan St Ste L110
Noblesville, IN 46060-1610

Mailing address

9301 S Pointe Lasalles Dr
Bloomington, IN 47401-9011
Phone (855) 557-6669

Other identifiers 1

IdentifierTypeStateIssuer
11-012546-1OtherININDIANA STATE DEPARTMENT OF HEALTH LICENSE

Other names 1

  • Reliant At Home LTD Doing business as

National Provider Directory

National Provider Directory

Locations

2620 N Walnut St
Ste 1250
Bloomington, IN 47404
Phone (812) 330-4145

822 W 1st St
Ste 5
Bloomington, IN 47403
Phone (317) 957-2110

341 W Logan St
Ste L110
Noblesville, IN 46060
Phone (855) 557-6669

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437457611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 S POINTE LASALLES DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474019011",
            "telephone_number": "855-557-6669",
            "fax_number": "855-557-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 LOGAN ST STE L110",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601610",
            "telephone_number": "317-674-8453",
            "fax_number": "317-674-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT@HOME LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PDS MANAGEMENT CORP",
        "enumeration_date": "2011-03-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PENTICUFF",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR",
        "authorized_official_telephone_number": "317-674-8453",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "11-012546-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE DEPARTMENT OF HEALTH LICENSE",
            "identifier": "11-012546-1",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliant At Home LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.