Organization Active NPI

Reliable Visiting Services, LLC

  • Family Nurse Practitioner
  • Oak Park, MI
National Provider Identifier
1811351026
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704210540 Issued in MI
Legal business name
RELIABLE VISITING SERVICES, LLC
Practice address
23300 Greenfield Rd
Suite 222
Oak Park, MI 48237-5237
Phone
(248) 417-1008
Fax
(248) 796-0271
NPI assigned
Apr 13, 2016
Last updated
Jun 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Kelly Nicole Hobson, CFNPNPI 1619078011
Title
Ceo
Phone
(248) 417-1008

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
Family Nurse Practitioner 363LF0000X 4704210540 MI Primary

Addresses

Primary practice location

23300 Greenfield Rd
Suite 222
Oak Park, MI 48237-5237

Mailing address

23300 Greenfield Rd
Suite 222
Oak Park, MI 48237-5237
Phone (248) 417-1008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160607000269 MI Part B Supplier - Clinic/Group Practice 7012207855 Receives reassigned benefits from 2 practitioners
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Locations

21411 Civic Center Dr
Ste 201
Southfield, MI 48076
Phone (248) 417-1008

Practitioners & affiliated clinicians

Practitioners 2

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": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1811351026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23300 GREENFIELD RD",
            "address_2": "SUITE 222",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482375237",
            "telephone_number": "248-417-1008",
            "fax_number": "248-796-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23300 GREENFIELD RD",
            "address_2": "SUITE 222",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482375237",
            "telephone_number": "248-417-1008",
            "fax_number": "248-796-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE VISITING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "HOBSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-417-1008",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704210540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.