Provider Demographics
NPI:1154371383
Name:DEPENDABLE HOME CARE, INC.
Entity type:Organization
Organization Name:DEPENDABLE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGHESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-221-7900
Mailing Address - Street 1:3617 BROADWAY BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1663
Mailing Address - Country:US
Mailing Address - Phone:214-221-7900
Mailing Address - Fax:214-221-7911
Practice Address - Street 1:3617 BROADWAY BLVD STE A
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1663
Practice Address - Country:US
Practice Address - Phone:214-221-7900
Practice Address - Fax:214-221-7911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX018027OtherSTATE LICENSE NUMBER
TX001013879Medicaid
TX679381Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER