Organization Active NPI

Reliable Assisted Living and Training

  • Home Health Registered Nurse
  • Randallstown, MD
National Provider Identifier
1487486536
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
RELIABLE ASSISTED LIVING AND TRAINING
Practice address
3703 Kings Point Rd
Randallstown, MD 21133-1611
Phone
(443) 561-6445
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Lisa Gillis
Title
Owner/Director of Nursing
Phone
(443) 561-6445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

3703 Kings Point Rd
Randallstown, MD 21133-1611

Mailing address

3703 Kings Point Rd
Randallstown, MD 21133-1611
Phone (443) 561-6445

Other identifiers 1

IdentifierTypeStateIssuer
RSA-02561OtherMDRESIDENTIAL SERVICE AGENCY

Other names 1

  • Reliable Assisted living and Training Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reliable Assisted Living and Training2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1487486536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 KINGS POINT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331611",
            "telephone_number": "443-561-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 KINGS POINT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331611",
            "telephone_number": "443-561-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE ASSISTED LIVING AND TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "443-561-6445"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL SERVICE AGENCY",
            "identifier": "RSA-02561",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliable Assisted living and Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.