Active NPI
Reliable Healthcare Agency Inc.
- Home Health Agency
- Irvington, NJ
National Provider Identifier
1447416698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1260088
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.