Provider Demographics
NPI:1689375420
Name:DEPENDABLE DYNAMICS HOME CARE LLC
Entity Type:Organization
Organization Name:DEPENDABLE DYNAMICS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TINNIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-277-7036
Mailing Address - Street 1:2517 AIRY CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-6559
Mailing Address - Country:US
Mailing Address - Phone:704-277-7036
Mailing Address - Fax:
Practice Address - Street 1:2517 AIRY CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-6559
Practice Address - Country:US
Practice Address - Phone:704-277-7036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health