Organization Active NPI

Reliant Home Health Agency, Inc.

  • Home Health Agency
  • Folsom, PA
National Provider Identifier
1609011956
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
03440501 Issued in PA
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 398139 · All quality measures
Ownership
Proprietary
Certified
Jul 9, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Michael Ehanika Individual 5% Or Greater Direct Ownership Interest Apr 25, 2018 50%
Corporate OfficerCeo, Board Member, Administrator Apr 25, 2018
Corporate DirectorBoard Member Jun 18, 2018
W-2 Managing EmployeeAgency Administrator Jun 18, 2023
Operational/Managerial ControlAdministrator Jun 18, 2018
Megan Ehanika Individual 5% Or Greater Direct Ownership Interest Apr 25, 2018 50%
Corporate DirectorBoard Member Apr 25, 2018
W-2 Managing EmployeeAssistant Administrator, Board M Apr 25, 2018
Operational/Managerial ControlAlternate Administator 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

Verify at the official NPI Registry.