Healthcare Provider Details

I. General information

NPI: 1255090221
Provider Name (Legal Business Name): DEPENDABLE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2021
Last Update Date: 12/16/2021
Certification Date: 12/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8775 INNISBROOK RUN
DULUTH GA
30097-1685
US

IV. Provider business mailing address

8775 INNISBROOK RUN
DULUTH GA
30097-1685
US

V. Phone/Fax

Practice location:
  • Phone: 678-900-4557
  • Fax:
Mailing address:
  • Phone:
  • 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: ADEKEYE AKINLADE
Title or Position: OWNER
Credential: RN
Phone: 678-900-4557