Provider Demographics
NPI:1700888757
Name:DEPENDABLE HOME HEALTH INC.
Entity type:Organization
Organization Name:DEPENDABLE HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:PEPPING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-901-5224
Mailing Address - Street 1:5255 E WILLIAMS CIR STE 4000
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-7706
Mailing Address - Country:US
Mailing Address - Phone:520-721-3822
Mailing Address - Fax:520-762-7841
Practice Address - Street 1:5255 E WILLIAMS CIR STE 4000
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-7706
Practice Address - Country:US
Practice Address - Phone:520-721-3822
Practice Address - Fax:520-762-7841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-02
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA 3118251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ705717Medicaid
AZ0702250OtherBLUE CROSS BLUE SHIELD AZ
60-00096OtherUNITED HEALTH CARE
1Z7163OtherHEALTH NET OF AZ
AZ0702250OtherBLUE CROSS BLUE SHIELD AZ