MEDICARE: DEPENDABLE SENIOR CARE LLC

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	253Z00000X	In Home Supportive Care Agency	30211730	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487058400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEPENDABLE SENIOR CARE LLC

Provider Business Mailing Address
First Line	:	2000 PALM BEACH LAKES BLVD STE 202
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6504
Country	:	US
Telephone Number	:	561-806-6525
Fax Number	:	561-634-2797

Provider Business Practice Location Address
First Line	:	2000 PALM BEACH LAKES BLVD STE 202
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6504
Country	:	US
Telephone Number	:	561-806-6525
Fax Number	:	561-634-2797

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ROBERT GREGORY ROCHE JR.
Credential	:
Telephone Number	:	561-699-0348

Provider Enumeration Date	:	10/20/2014
Last Update Date	:	08/01/2024

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Directions to “DEPENDABLE SENIOR CARE LLC ” Practice Location

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