Organization Active NPI

Reliable Healthcare Agency Inc.

  • Home Health Agency
  • Irvington, NJ
National Provider Identifier
1447416698
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1260088 Issued in NJ
Legal business name
RELIABLE HEALTHCARE AGENCY INC.
Practice address
20 41St St
Irvington, NJ 07111-1255
Phone
(866) 790-7799
Fax
(973) 371-8339
NPI assigned
Aug 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Mrs. Marie Vedette Licin-Valerius, RN
Title
President
Phone
(866) 790-7799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1260088 NJ Primary

Addresses

Primary practice location

20 41St St
Irvington, NJ 07111-1255

Mailing address

PO Box 767
Maplewood, NJ 07040-0767
Phone (866) 790-7799

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1447416698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070400767",
            "telephone_number": "866-790-7799",
            "fax_number": "973-371-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 41ST ST",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111255",
            "telephone_number": "866-790-7799",
            "fax_number": "973-371-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE HEALTHCARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "LICIN-VALERIUS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "VEDETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-790-7799",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "1260088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.