Provider Demographics
NPI:1073892063
Name:DEPENDABLE HOME CARE INC
Entity Type:Organization
Organization Name:DEPENDABLE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-819-7782
Mailing Address - Street 1:2330 STRAWBERRY CT
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2761
Mailing Address - Country:US
Mailing Address - Phone:732-819-7782
Mailing Address - Fax:888-247-9475
Practice Address - Street 1:2330 STRAWBERRY CT
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2761
Practice Address - Country:US
Practice Address - Phone:732-819-7782
Practice Address - Fax:888-247-9475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0155000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health