Provider Demographics
NPI:1225802150
Name:DEPENDABLE OVERNIGHT, INC.
Entity Type:Organization
Organization Name:DEPENDABLE OVERNIGHT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:EGIAZARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-916-0707
Mailing Address - Street 1:7356 LEESCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE BALBOA
Mailing Address - State:CA
Mailing Address - Zip Code:91406-2624
Mailing Address - Country:US
Mailing Address - Phone:818-916-0707
Mailing Address - Fax:
Practice Address - Street 1:7356 LEESCOTT AVE
Practice Address - Street 2:
Practice Address - City:LAKE BALBOA
Practice Address - State:CA
Practice Address - Zip Code:91406-2624
Practice Address - Country:US
Practice Address - Phone:818-916-0707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility