Provider Demographics
NPI:1710777503
Name:BOLDENS DEPENDABLE PRIVATE SITTING LLC
Entity type:Organization
Organization Name:BOLDENS DEPENDABLE PRIVATE SITTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHYMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:769-232-0646
Mailing Address - Street 1:591 NORTHPARK DR STE G
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-5174
Mailing Address - Country:US
Mailing Address - Phone:769-232-0646
Mailing Address - Fax:
Practice Address - Street 1:591 NORTHPARK DR
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-5174
Practice Address - Country:US
Practice Address - Phone:769-232-0646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty