Organization Active NPI

Health Reliance Care Services Inc.

  • In Home Supportive Care Agency
  • Fairfax, VA
National Provider Identifier
1457050692
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEALTH RELIANCE CARE SERVICES INC.
Practice address
10306 Eaton PL Ste 300
Fairfax, VA 22030-2201
Phone
(240) 651-9856
NPI assigned
Feb 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Alice Awino Mukoya, CEO
Title
Ceo
Phone
(240) 651-9856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10306 Eaton PL Ste 300
Fairfax, VA 22030-2201

Mailing address

11807 Montague Dr
Laurel, MD 20708-2817
Phone (240) 651-9856

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1457050692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11807 MONTAGUE DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082817",
            "telephone_number": "240-651-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 EATON PL STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302201",
            "telephone_number": "240-651-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH RELIANCE CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "MUKOYA",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "AWINO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-651-9856",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.