Healthcare Provider Details

I. General information

NPI: 1821325366
Provider Name (Legal Business Name): DEPENDABLE HEALTHCARE SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1171 MAIN ST STE B
WYOMING RI
02898-1074
US

IV. Provider business mailing address

1171 MAIN ST STE B
WYOMING RI
02898-1074
US

V. Phone/Fax

Practice location:
  • Phone: 401-491-9003
  • Fax: 401-491-9054
Mailing address:
  • Phone: 401-491-9003
  • Fax: 401-491-9054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHNC02342
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHNC02342
License Number StateRI

VIII. Authorized Official

Name: EPHRAIM U JACOB
Title or Position: PRESIDENT/CEO
Credential:
Phone: 401-491-9003