MEDICARE: DEPENDABLE CARE SERVICES OF PA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	251J00000X	Nursing Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528566759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEPENDABLE CARE SERVICES OF PA INC

Provider Business Mailing Address
First Line	:	2014 E CHELTEN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19138-3014
Country	:	US
Telephone Number	:	215-278-4198
Fax Number	:	215-438-8850

Provider Business Practice Location Address
First Line	:	2014 E CHELTEN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19138-3014
Country	:	US
Telephone Number	:	267-730-7990
Fax Number	:	215-438-8850

Authorized Official
Title or Position	:	PRESIDENT / CEO
Name	:	MICHELENE BENOIT
Credential	:
Telephone Number	:	267-730-7990

Provider Enumeration Date	:	01/23/2018
Last Update Date	:	12/05/2020

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