Provider Demographics
NPI:1376731372
Name:DEPENDABLE CARE SERVICES LLC
Entity Type:Organization
Organization Name:DEPENDABLE CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT AGENT
Authorized Official - Prefix:
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:
Authorized Official - Last Name:LOS BANOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-355-0182
Mailing Address - Street 1:8010 W SAHARA AVE
Mailing Address - Street 2:SUITE 245
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-7927
Mailing Address - Country:US
Mailing Address - Phone:702-463-8261
Mailing Address - Fax:
Practice Address - Street 1:8010 W SAHARA AVE
Practice Address - Street 2:SUITE 245
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-7927
Practice Address - Country:US
Practice Address - Phone:702-463-8261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1006501690OtherSTATE BUSINESS LICENSE