Provider Demographics
NPI:1891327086
Name:DEPENDABLE HEALTHCARE PROVIDERS LLC
Entity Type:Organization
Organization Name:DEPENDABLE HEALTHCARE PROVIDERS LLC
Other - Org Name:DEPENDABLE HEALTHCARE PROVIDERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:HELLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:419-651-3656
Mailing Address - Street 1:202 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-3212
Mailing Address - Country:US
Mailing Address - Phone:567-333-4555
Mailing Address - Fax:
Practice Address - Street 1:202 MAPLE ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-3212
Practice Address - Country:US
Practice Address - Phone:567-333-4555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No251J00000XAgenciesNursing Care
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0395064Medicaid