Active NPI
Reliant Home Healthcare Services Inc
- Home Health Agency
- Montclair, CA
National Provider Identifier
1700049111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- RELIANT HOME HEALTHCARE SERVICES INC
- Practice address
- 8880 Benson Ave
Suite 118
Montclair, CA 91763-1651 - Phone
- (909) 931-5100
- Fax
- (909) 931-5188
- NPI assigned
- Jul 7, 2008
- 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
- Mr. Larry Latinwo, BS ENG
- Title
- President
- Phone
- (909) 931-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
8880 Benson Ave
Suite 118
Montclair, CA 91763-1651
Mailing address
8880 Benson Ave
Suite 118
Montclair, CA 91763-1651
Phone (909) 931-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080916000238 | CA | Part A Provider - Home Health Agency | 3971670019 | Practice locations: Montclair, CA |
Home health agency certification: CCN 059192
- Legal name
- RELIANT HOME HEALTHCARE SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 8, 2010
- Last certification
- Jan 25, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Oct 9, 2007 in CA
- Enrollment address
- 8880 Benson Ave 118
Montclair, CA 91763-1661
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Reliant Home Healthcare Services
- Ownership
- Proprietary
- Certified
- Mar 8, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Reliant Home Healthcare Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Montclair, CA
- NPI 1841606340
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 |
|---|---|---|---|
| Larry Latinwo | 5% Or Greater Direct Ownership Interest | Sep 1, 2008 | 50% |
| Corporate Officer | Oct 9, 2007 | ||
| Corporate Director | Sep 1, 2008 | ||
| W-2 Managing Employee | Sep 1, 2008 | ||
| Olayinka Latinwo | 5% Or Greater Direct Ownership Interest | Sep 1, 2008 | 50% |
| Corporate Officer | Oct 9, 2007 | ||
| Corporate Director | Sep 1, 2008 | ||
| W-2 Managing Employee | Sep 1, 2008 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300924800000",
"number": "1700049111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8880 BENSON AVE",
"address_2": "SUITE 118",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917631651",
"telephone_number": "909-931-5100",
"fax_number": "909-931-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8880 BENSON AVE",
"address_2": "SUITE 118",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917631651",
"telephone_number": "909-931-5100",
"fax_number": "909-931-5188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIANT HOME HEALTHCARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-07",
"last_updated": "2011-03-24",
"status": "A",
"authorized_official_last_name": "LATINWO",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-931-5100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BS ENG"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.