Organization Active NPI

Reliable Home Care Agency

  • Home Health Agency
  • Durham, NC
National Provider Identifier
1720376320
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4398 Issued in NC
Legal business name
RELIABLE HOME CARE AGENCY
Practice address
1020 S Miami Blvd
Ste. 106
Durham, NC 27703-5417
Phone
(919) 596-9479
Fax
(919) 957-0099
NPI assigned
Jul 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Ms. Valerie Benedicta Parker, RN
Title
Director
Phone
(919) 308-2339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4398 NC Primary

Addresses

Primary practice location

1020 S Miami Blvd
Ste. 106
Durham, NC 27703-5417

Mailing address

1020 S Miami Blvd
Ste. 106
Durham, NC 27703-5417
Phone (919) 596-9479

Other identifiers 1

IdentifierTypeStateIssuer
6602281MedicaidNC

National Provider Directory

National Provider Directory

Locations

1020 S Miami Blvd
Ste 106
Durham, NC 27703
Phone (919) 596-9479

NPI Registry JSON

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

{
    "created_epoch": "1310774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1720376320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S MIAMI BLVD",
            "address_2": "STE. 106",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035417",
            "telephone_number": "919-596-9479",
            "fax_number": "919-957-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S MIAMI BLVD",
            "address_2": "STE. 106",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035417",
            "telephone_number": "919-596-9479",
            "fax_number": "919-957-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-16",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "BENEDICTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-308-2339",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602281",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.