RELIANCE FAMILY CARE SERVICES INC.


Address: 2146 S Broad St, 2nd Fl, Philadelphia, PA 19145-3905
Phone: 2675190672

RELIANCE FAMILY CARE SERVICES INC. (NPI# 1356636617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356636617
Entity Type Organization
Organization Name RELIANCE FAMILY CARE SERVICES INC.
Practice Address 2146 S Broad St
2nd Fl
Philadelphia
PA 19145-3905
Practice Telephone 2675190672
Mailing Telephone 2675190672
Enumeration Date 2011-06-15
Last Update Date 2012-05-24
Authorized Official Name MR. ERNEST G COLE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2675190672
Authorized Official Credential MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 164W00000X Licensed Practical Nurse PA Nursing Service Providers
Y 251E00000X Home Health 21403601 PA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
PA LPN TAXONOMY 164W00000X 01
PA DEPARTMENT OF HEALTH 21403601 01
PA MPI # 102549501 01

Office Location

Street Address 2146 S BROAD ST
2ND FL
City PHILADELPHIA
State PA
Zip Code 19145-3905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215973821 Steven R Weasen Specialist 2146 S Broad St, 1st Floor, Philadelphia, PA 19145-3905 2006-06-21
1710252010 Patrick Jajua Licensed Practical Nurse 2146 S Broad St, Second Floor, Philadelphia, PA 19145-3905 2012-03-20
1073888384 Peter Manga Licensed Practical Nurse 2146 S Broad St, 2floor, Philadelphia, PA 19145-3905 2012-03-20

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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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Competitor

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City PHILADELPHIA
Zip Code 19145

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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