Organization Active NPI

Reliant Medical Group, LLC

Doing business as Reliant Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1871047829
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
NV20161386806 Issued in NV
Legal business name
RELIANT MEDICAL GROUP, LLC
Doing business as
Reliant Medical Supply
Practice address
3111 S Valley View Blvd
Suite a-220
Las Vegas, NV 89102-8317
Phone
(702) 719-9042
NPI assigned
Aug 8, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Ms. Elaine Jane Cardenas-Smith
Title
President
Phone
(702) 719-9042

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NV20161386806 NV Primary
Oxygen Equipment & Supplies (DME) 332BX2000X NV20161386806 NV

Addresses

Primary practice location

3111 S Valley View Blvd
Suite a-220
Las Vegas, NV 89102-8317

Mailing address

9831 Venus Lake CT
Las Vegas, NV 89178-5549
Phone (702) 719-9042

Other names 1

  • RELIANT MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1871047829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9831 VENUS LAKE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891785549",
            "telephone_number": "702-719-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 S VALLEY VIEW BLVD",
            "address_2": "SUITE A-220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028317",
            "telephone_number": "702-719-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "CARDENAS-SMITH",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-719-9042",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "NV20161386806",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NV",
            "license": "NV20161386806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RELIANT MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.