Provider Demographics
NPI:1013143288
Name:DEPENDABLE NURSING HOME HEALTH INC.-HME DIVISION
Entity Type:Organization
Organization Name:DEPENDABLE NURSING HOME HEALTH INC.-HME DIVISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:847-677-2919
Mailing Address - Street 1:4656 W TOUHY AVE
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1656
Mailing Address - Country:US
Mailing Address - Phone:847-677-2919
Mailing Address - Fax:847-677-3538
Practice Address - Street 1:4656 W TOUHY AVE
Practice Address - Street 2:SUITE 2000
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1656
Practice Address - Country:US
Practice Address - Phone:847-677-2919
Practice Address - Fax:847-677-3538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203.000927332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies