Healthcare Provider Details

I. General information

NPI: 1891327086
Provider Name (Legal Business Name): DEPENDABLE HEALTHCARE PROVIDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2020
Last Update Date: 11/06/2020
Certification Date: 11/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 MAPLE ST
ASHLAND OH
44805-3212
US

IV. Provider business mailing address

202 MAPLE ST
ASHLAND OH
44805-3212
US

V. Phone/Fax

Practice location:
  • Phone: 567-333-4555
  • Fax:
Mailing address:
  • Phone: 567-333-4555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DANIEL C HELLINGER
Title or Position: OWNER
Credential: CNP
Phone: 419-651-3656