Provider Demographics
NPI:1003856493
Name:DEPENDABLE CARE HEALTH SERVICE LLC
Entity Type:Organization
Organization Name:DEPENDABLE CARE HEALTH SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:WINROW
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-323-2245
Mailing Address - Street 1:5318 GLEN VISTA DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-4662
Mailing Address - Country:US
Mailing Address - Phone:469-366-5784
Mailing Address - Fax:469-366-5784
Practice Address - Street 1:5318 GLEN VISTA DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-4662
Practice Address - Country:US
Practice Address - Phone:469-366-5784
Practice Address - Fax:469-366-5784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX743180Medicare Oscar/Certification