Provider Demographics
NPI:1063093847
Name:DEPENDABLE HOME HEALTH OF NEVADA LLC
Entity type:Organization
Organization Name:DEPENDABLE HOME HEALTH OF NEVADA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CFO/COO
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:PEPPING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-901-5224
Mailing Address - Street 1:6345 S PECOS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-6224
Mailing Address - Country:US
Mailing Address - Phone:702-202-4700
Mailing Address - Fax:702-202-4751
Practice Address - Street 1:6345 S PECOS RD STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-6224
Practice Address - Country:US
Practice Address - Phone:702-202-4700
Practice Address - Fax:702-202-4751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty