Organization Active NPI

Reliable Nurses, LLC

  • Home Health Agency
  • Tucson, AZ
National Provider Identifier
1629230594
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA4414 Issued in AZ
Legal business name
RELIABLE NURSES, LLC
Practice address
151 E 6TH St
Tucson, AZ 85705-8320
Phone
(520) 889-1328
Fax
(520) 889-2355
NPI assigned
Jul 1, 2008
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Mrs. Celia I. Mata, RN, BSNNPI 1760670095
Title
Administrator
Phone
(520) 889-1328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA4414 AZ Primary

Addresses

Primary practice location

151 E 6TH St
Tucson, AZ 85705-8320

Mailing address

151 E 6TH St
Tucson, AZ 85705-8320
Phone (520) 889-1328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091105000466 AZ Part A Provider - Home Health Agency 8325186794 Practice locations: Tucson, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629230594. Details of each certification follow.

Home health agency certification: CCN 037288

Legal name
RELIABLE NURSES, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 16, 2010
Last certification
Oct 3, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 3, 2008 in AZ
Enrollment address
151 E 6TH St
Tucson, AZ 85705-8320

Care Compare: Home health agency

Medicare Care Compare
Listed as
Reliable Nurses LLCCCN 037288 · All quality measures
Ownership
Proprietary
Certified
Dec 16, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1084414Reliable Nurses,LLC151 E 6TH St, Tucson, AZ 85705Certificate of waiverMay 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Reliable Nurses LLC2 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.

Locations

151 E 6th St
Tucson, AZ 85705
Phone (520) 889-1328

3855 S Evans Blvd
Ste 402
Tucson, AZ 85714
Phone (520) 889-1328

537 N 6th Ave
Ste E
Tucson, AZ 85705
Phone (520) 889-1328

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
Celia I Mata Individual 5% Or Greater Direct Ownership Interest Jun 3, 2008 100%
W-2 Managing EmployeeAdministrator Jun 3, 2008 100%
Gabriel R Silguero Individual W-2 Managing EmployeeManager Sep 24, 2014

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1629230594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E 6TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857058320",
            "telephone_number": "520-889-1328",
            "fax_number": "520-889-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E 6TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857058320",
            "telephone_number": "520-889-1328",
            "fax_number": "520-889-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE NURSES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "CELIA",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-889-1328",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA4414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.