Healthcare Provider Details
I. General information
NPI: 1679634216
Provider Name (Legal Business Name): DEPENDABLE HEALTHCARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/13/2006
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 CONIFER HILL DR STE 502
DANVERS MA
01923-1174
US
IV. Provider business mailing address
100 CONIFER HILL DR STE 502
DANVERS MA
01923-1174
US
V. Phone/Fax
- Phone: 781-558-9555
- Fax: 781-558-9552
- Phone: 781-558-9555
- Fax: 781-558-9552
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | TPJU |
| License Number State | MA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | TPJU |
| License Number State | MA |
VIII. Authorized Official
Name: MS.
IGUODALA
I
DEW
Title or Position: PRESIDENT
Credential:
Phone: 781-286-1566