Healthcare Provider Details

I. General information

NPI: 1477447753
Provider Name (Legal Business Name): DEPENDABLEHANDS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/03/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 N TRACY BLVD STE A
TRACY CA
95376-2426
US

IV. Provider business mailing address

672 QUAIL RUN CIR
TRACY CA
95377-7032
US

V. Phone/Fax

Practice location:
  • Phone: 209-832-0535
  • Fax:
Mailing address:
  • Phone: 209-900-4474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELINE NCHAKO NJAMFA
Title or Position: CARE MANAGER
Credential:
Phone: 350-900-4474