Healthcare Provider Details

I. General information

NPI: 1316523129
Provider Name (Legal Business Name): DEPENDABLE HOME HEALTH OF PHOENIX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 03/22/2021
Certification Date: 03/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 E CAMELBACK RD STE 207
PHOENIX AZ
85016-3456
US

IV. Provider business mailing address

1141 N EL DORADO PL STE 300
TUCSON AZ
85715-4623
US

V. Phone/Fax

Practice location:
  • Phone: 520-721-3822
  • Fax: 520-571-1817
Mailing address:
  • Phone: 520-721-3822
  • Fax: 520-571-1817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH M SCHIFANO
Title or Position: PRESIDENT/CEO
Credential:
Phone: 520-721-3822