Healthcare Provider Details

I. General information

NPI: 1528566759
Provider Name (Legal Business Name): DEPENDABLE CARE SERVICES OF PA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2018
Last Update Date: 12/05/2020
Certification Date: 12/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2014 E CHELTEN AVE
PHILADELPHIA PA
19138-3014
US

IV. Provider business mailing address

2014 E CHELTEN AVE
PHILADELPHIA PA
19138-3014
US

V. Phone/Fax

Practice location:
  • Phone: 267-730-7990
  • Fax: 215-438-8850
Mailing address:
  • Phone: 215-278-4198
  • Fax: 215-438-8850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
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
# 3
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELENE BENOIT
Title or Position: PRESIDENT / CEO
Credential:
Phone: 267-730-7990