Provider Demographics
NPI:1255090221
Name:DEPENDABLE HOME CARE LLC
Entity type:Organization
Organization Name:DEPENDABLE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADEKEYE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINLADE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-900-4557
Mailing Address - Street 1:8775 INNISBROOK RUN
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1685
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8775 INNISBROOK RUN
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-1685
Practice Address - Country:US
Practice Address - Phone:678-900-4557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care