Provider Demographics
NPI:1528566759
Name:DEPENDABLE CARE SERVICES OF PA INC
Entity Type:Organization
Organization Name:DEPENDABLE CARE SERVICES OF PA INC
Other - Org Name:DEPENDABLE NURSING SERVICES OF FL INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENOIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-730-7990
Mailing Address - Street 1:2014 E CHELTEN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19138-3014
Mailing Address - Country:US
Mailing Address - Phone:215-278-4198
Mailing Address - Fax:215-438-8850
Practice Address - Street 1:2014 E CHELTEN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19138-3014
Practice Address - Country:US
Practice Address - Phone:267-730-7990
Practice Address - Fax:215-438-8850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-23
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1528566759Medicaid
FL=========OtherNURSE REGISTRY