Organization Active NPI

Dependable Home Care, Inc.

  • Home Health Agency
  • Garland, TX
National Provider Identifier
1154371383
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 7, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
018027OtherTXSTATE LICENSE NUMBER
001013879MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 679381
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Dec 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Jose Abraham Individual 5% Or Greater Direct Ownership Interest Dec 31, 2018 10%
Sebastian John Individual 5% Or Greater Direct Ownership Interest Oct 11, 2016 10%
Stephen Thomas Individual 5% Or Greater Direct Ownership Interest Oct 11, 2016 10%
Ligy Thomas Individual W-2 Managing EmployeeAlternate Director of Nurses Oct 11, 2016
Bejoy Mathew Individual 5% Or Greater Direct Ownership Interest Oct 11, 2016 20%
Steven Thomas Individual 5% Or Greater Direct Ownership Interest Oct 11, 2016 10%
Sam C Varghese Individual Corporate Officer Mar 31, 2017
W-2 Managing EmployeeAdministrator Oct 11, 2016
Johnson Johnson Chacko Individual 5% Or Greater Direct Ownership Interest Oct 11, 2016 40%
Holly R Henagin Individual W-2 Managing EmployeeAlt Admin 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.

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.