Active NPI
Dependable Home Care, Inc.
- Home Health Agency
- Garland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DEPENDABLE HOME CARE, INC.
- Practice address
- 3617 Broadway Blvd Ste a
Garland, TX 75043-1663 - Phone
- (214) 221-7900
- Fax
- (214) 221-7911
- NPI assigned
- May 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sam Varghese
- Title
- Administrator
- Phone
- (214) 221-7900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3617 Broadway Blvd Ste a
Garland, TX 75043-1663
Mailing address
3617 Broadway Blvd Ste a
Garland, TX 75043-1663
Phone (214) 221-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018027 | Other | TX | STATE LICENSE NUMBER |
| 001013879 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030820000019 | TX | Part A Provider - Home Health Agency | 6406767920 | Practice locations: Garland, TX |
Home health agency certification: CCN 679381
- Legal name
- DEPENDABLE HOME CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 1, 2003
- Last certification
- May 28, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 14, 2003 in TX
- Enrollment address
- 3617 Broadway Blvd
Ste a
Garland, TX 75043-1663
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Dependable Home Care Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 1, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
9550 Forest Ln
Ste 212
Dallas, TX 75243
Phone (214) 221-7900
3617 Broadway Blvd
Ste A
Garland, TX 75043
Phone (214) 221-7900
2111 N Belt Line Rd
#2
Mesquite, TX 75150
Phone (214) 221-7900
2611 N Belt Line Rd
Ste 117
Sunnyvale, TX 75182
Phone (214) 221-7900
Ownership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jose Abraham | 5% Or Greater Direct Ownership Interest | Dec 31, 2018 | 10% |
| Sebastian John | 5% Or Greater Direct Ownership Interest | Oct 11, 2016 | 10% |
| Stephen Thomas | 5% Or Greater Direct Ownership Interest | Oct 11, 2016 | 10% |
| Ligy Thomas | W-2 Managing Employee | Oct 11, 2016 | |
| Bejoy Mathew | 5% Or Greater Direct Ownership Interest | Oct 11, 2016 | 20% |
| Steven Thomas | 5% Or Greater Direct Ownership Interest | Oct 11, 2016 | 10% |
| Sam C Varghese | Corporate Officer | Mar 31, 2017 | |
| W-2 Managing Employee | Oct 11, 2016 | ||
| Johnson Johnson Chacko | 5% Or Greater Direct Ownership Interest | Oct 11, 2016 | 40% |
| Holly R Henagin | W-2 Managing Employee | Nov 16, 2016 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Adult Health Nurse Practitioner
- Houston, TX
- NPI 1316738735
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Plano, TX
- NPI 1336120328
Home health agency
-
- Family Nurse Practitioner
- Terrell, TX
- NPI 1306391396
Home health agency
-
- Internal Medicine Physician
- Mesquite, TX
- NPI 1881605780
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717718400000",
"number": "1154371383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 BROADWAY BLVD STE A",
"city": "GARLAND",
"state": "TX",
"postal_code": "750431663",
"telephone_number": "214-221-7900",
"fax_number": "214-221-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 BROADWAY BLVD STE A",
"city": "GARLAND",
"state": "TX",
"postal_code": "750431663",
"telephone_number": "214-221-7900",
"fax_number": "214-221-7911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEPENDABLE HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-10",
"last_updated": "2024-06-07",
"certification_date": "2022-09-07",
"status": "A",
"authorized_official_last_name": "VARGHESE",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-221-7900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "018027",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001013879",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.