Healthcare Provider Details

I. General information

NPI: 1063093847
Provider Name (Legal Business Name): DEPENDABLE HOME HEALTH OF NEVADA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6345 S PECOS RD STE 200
LAS VEGAS NV
89120-6224
US

IV. Provider business mailing address

6345 S PECOS RD STE 200
LAS VEGAS NV
89120-6224
US

V. Phone/Fax

Practice location:
  • Phone: 702-202-4700
  • Fax: 702-202-4751
Mailing address:
  • Phone: 702-202-4700
  • Fax: 702-202-4751

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: TOM PEPPING
Title or Position: PRESIDENT/CFO/COO
Credential:
Phone: 520-901-5224