Active NPI
Reliant@Home LTD
Doing business as Reliant At Home LTD
- Home Health Agency
- Noblesville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 11-012546-1
- 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, 2022
- Organization subpart
- Yes
- Parent organization
- PDS MANAGEMENT CORP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11-012546-1 | Other | IN | INDIANA STATE DEPARTMENT OF HEALTH LICENSE |
Other names 1
- Reliant At Home LTD
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1538520408
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.