Provider Demographics
NPI:1356646020
Name:DEPENDABLE CAREGIVERS
Entity Type:Organization
Organization Name:DEPENDABLE CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-246-1316
Mailing Address - Street 1:3359 SPRING WATER CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38128-1123
Mailing Address - Country:US
Mailing Address - Phone:901-246-1316
Mailing Address - Fax:
Practice Address - Street 1:3359 SPRING WATER CV
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128-1123
Practice Address - Country:US
Practice Address - Phone:901-246-1316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0015630068251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health