Active NPI
Reliable Assisted Living and Training
- Home Health Registered Nurse
- Randallstown, MD
National Provider Identifier
1487486536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | Primary | ||
| Home Health Aide | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RSA-02561 | Other | MD | RESIDENTIAL SERVICE AGENCY |
Other names 1
- Reliable Assisted living and Training
National Provider Directory
National Provider Directory- Tax ID family
- Reliable Assisted Living and Training
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Randallstown, MD
- NPI 1346950987
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.