MEDICARE: DEPENDABLE CARE SUPPORT SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1346114097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEPENDABLE CARE SUPPORT SERVICES INC

Provider Business Mailing Address
First Line	:	8049 STEAMBOAT SPRINGS DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-9764
Country	:	US
Telephone Number	:	904-352-7761
Fax Number	:	904-990-1433

Provider Business Practice Location Address
First Line	:	8049 STEAMBOAT SPRINGS DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-9764
Country	:	US
Telephone Number	:	904-352-7761
Fax Number	:	904-990-1433

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. SHARONDA PURIFOY
Credential	:
Telephone Number	:	904-415-0342

Provider Enumeration Date	:	10/03/2025
Last Update Date	:	10/03/2025

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