Provider Demographics
NPI:1093961823
Name:DEPENDABLE HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:DEPENDABLE HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:V
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:805-582-0138
Mailing Address - Street 1:5924 E LOS ANGELES AVE
Mailing Address - Street 2:SUITE O
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-5526
Mailing Address - Country:US
Mailing Address - Phone:805-582-0138
Mailing Address - Fax:805-582-0915
Practice Address - Street 1:5924 E LOS ANGELES AVE
Practice Address - Street 2:SUITE O
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-5526
Practice Address - Country:US
Practice Address - Phone:805-582-0138
Practice Address - Fax:805-582-0915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059083Medicare Oscar/Certification