NPIMap

Organization Active NPI

Reliance Health Source LLC

  • In Home Supportive Care Agency
  • Greensboro, NC
National Provider Identifier
1922494426
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC6442 Issued in NC
Legal business name
RELIANCE HEALTH SOURCE LLC
Practice address
2 Terrace Way Ste D
Box #10
Greensboro, NC 27403-3663
Phone
(336) 844-4684
Fax
(336) 740-9342
NPI assigned
Apr 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Tamara A Asad
Title
Managing Member
Phone
(336) 844-4684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC6442 NC Primary

Addresses

Primary practice location

2 Terrace Way Ste D
Box #10
Greensboro, NC 27403-3663

Mailing address

2 Terrace Way Ste D
Box #10
Greensboro, NC 27403-3663
Phone (336) 844-4684

National Provider Directory

National Provider Directory
Tax ID family
In Home Quality Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1922494426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TERRACE WAY STE D",
            "address_2": "BOX #10",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033663",
            "telephone_number": "336-844-4684",
            "fax_number": "336-740-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TERRACE WAY STE D",
            "address_2": "BOX #10",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033663",
            "telephone_number": "336-844-4684",
            "fax_number": "336-740-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE HEALTH SOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "ASAD",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "336-844-4684"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC6442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.