Reliance Trust LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RELIANCE TRUST LLC

Practice address

101 Ridge Spring Dr
Columbia, SC 29229-9078

Phone

(803) 767-0206

NPI assigned

Apr 5, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Tracey Rena Foxworth

Title

Owner

Phone

(803) 767-0206

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1790074359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIDGE SPRING DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299078",
            "telephone_number": "803-767-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIDGE SPRING DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299078",
            "telephone_number": "803-767-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE TRUST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "FOXWORTH",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-767-0206",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Columbia, SC
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.