Provider Demographics
NPI:1417106964
Name:DEPENDABLE HOME CARE
Entity Type:Organization
Organization Name:DEPENDABLE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VAISHALI
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-881-7101
Mailing Address - Street 1:5510 COMMONS LN
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-6775
Mailing Address - Country:US
Mailing Address - Phone:770-881-7101
Mailing Address - Fax:770-573-7111
Practice Address - Street 1:5510 COMMONS LN
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-6775
Practice Address - Country:US
Practice Address - Phone:770-881-7101
Practice Address - Fax:770-573-7111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060-R-0287251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health