Provider Demographics
NPI:1285821819
Name:DEPENDABLE HOME HEALTH CARE,LLC
Entity type:Organization
Organization Name:DEPENDABLE HOME HEALTH CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUKHNINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:GHUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:248-424-4807
Mailing Address - Street 1:18600 W 10 MILE RD STE 205
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2645
Mailing Address - Country:US
Mailing Address - Phone:248-424-4807
Mailing Address - Fax:
Practice Address - Street 1:18600 W 10 MILE RD STE 205
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2645
Practice Address - Country:US
Practice Address - Phone:248-424-4807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237777Medicare Oscar/Certification