Active NPI
Reliant Home Health Agency, Inc.
- Home Health Agency
- Folsom, PA
National Provider Identifier
1609011956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 03440501
- Legal business name
- RELIANT HOME HEALTH AGENCY, INC.
- Practice address
- 1401 E Macdade Blvd.
Folsom, PA 19033 - Phone
- (610) 534-1414
- NPI assigned
- Dec 15, 2008
- Last updated
- Feb 28, 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
- Michael Ehanika
- Title
- Adminstrator
- Phone
- (610) 534-1414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 03440501 | PA | Primary |
Addresses
Primary practice location
1401 E Macdade Blvd.
Folsom, PA 19033
Mailing address
1401 E Macdade Blvd
Folsom, PA 19033
Phone (610) 534-1414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090115000697 | PA | Part A Provider - Home Health Agency | 6002979101 | Practice locations: Folsom, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1609011956. Details of each certification follow.
Home health agency certification: CCN 398139
- Legal name
- RELIANT HOME HEALTH AGENCY, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 9, 2010
- Last certification
- Aug 31, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 6, 2007 in PA
- Enrollment address
- 1401 Macdade Blvd
Folsom, PA 19033-1502
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Reliant Home Health Agency, Inc
- Ownership
- Proprietary
- Certified
- Jul 9, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1401 Macdade Blvd
Folsom, PA 19033
Phone (610) 534-1414
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Ehanika | 5% Or Greater Direct Ownership Interest | Apr 25, 2018 | 50% |
| Corporate Officer | Apr 25, 2018 | ||
| Corporate Director | Jun 18, 2018 | ||
| W-2 Managing Employee | Jun 18, 2023 | ||
| Operational/Managerial Control | Jun 18, 2018 | ||
| Megan Ehanika | 5% Or Greater Direct Ownership Interest | Apr 25, 2018 | 50% |
| Corporate Director | Apr 25, 2018 | ||
| W-2 Managing Employee | Apr 25, 2018 | ||
| Operational/Managerial Control | Apr 25, 2021 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709078400000",
"number": "1609011956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 E MACDADE BLVD",
"city": "FOLSOM",
"state": "PA",
"postal_code": "19033",
"telephone_number": "610-534-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E MACDADE BLVD.",
"city": "FOLSOM",
"state": "PA",
"postal_code": "19033",
"telephone_number": "610-534-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIANT HOME HEALTH AGENCY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-15",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A",
"authorized_official_last_name": "EHANIKA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "610-534-1414"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "03440501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.