Provider Demographics
NPI:1548455397
Name:DEPENDABLE HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:DEPENDABLE HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:Y
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-806-0220
Mailing Address - Street 1:PO BOX 4511
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24115-4511
Mailing Address - Country:US
Mailing Address - Phone:276-656-2273
Mailing Address - Fax:276-656-2247
Practice Address - Street 1:51 E CHURCH ST
Practice Address - Street 2:SUITE 202-204
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-6200
Practice Address - Country:US
Practice Address - Phone:276-656-2273
Practice Address - Fax:276-656-2247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-08440251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health