Provider Demographics
NPI:1972857035
Name:DEPENDABLE HOME CARE OF NY LLC
Entity Type:Organization
Organization Name:DEPENDABLE HOME CARE OF NY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:UCHECHI
Authorized Official - Middle Name:EZIAKU
Authorized Official - Last Name:NWANKWOALA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:914-813-2493
Mailing Address - Street 1:201 COLIGNI AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-2410
Mailing Address - Country:US
Mailing Address - Phone:914-813-2493
Mailing Address - Fax:
Practice Address - Street 1:201 COLIGNI AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-2410
Practice Address - Country:US
Practice Address - Phone:914-813-2493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-28
Last Update Date:2012-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health