Organization Active NPI

Dependable Care Services

  • Home Health Agency
  • Shreveport, LA
National Provider Identifier
1235392804
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
00213180 Issued in LA
Legal business name
DEPENDABLE CARE SERVICES
Practice address
2118 Hollywood Ave
Shreveport, LA 71108-3922
Phone
(318) 632-5008
Fax
(318) 632-5099
NPI assigned
Jul 3, 2008
Last updated
May 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Williams
Title
Ceo
Phone
(318) 632-5008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 00213180 LA Primary

Addresses

Primary practice location

2118 Hollywood Ave
Shreveport, LA 71108-3922

Mailing address

2118 Hollywood Ave
Shreveport, LA 71108-3922
Phone (318) 632-5008

Other identifiers 3

IdentifierTypeStateIssuer
2324039MedicaidLA
1884308MedicaidLA
1971839MedicaidLA

National Provider Directory

National Provider Directory

Locations

2118 Hollywood Ave
Shreveport, LA 71108
Phone (318) 632-5008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1235392804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 HOLLYWOOD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711083922",
            "telephone_number": "318-632-5008",
            "fax_number": "318-632-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 HOLLYWOOD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711083922",
            "telephone_number": "318-632-5008",
            "fax_number": "318-632-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPENDABLE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-632-5008"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "00213180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2324039",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1884308",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1971839",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.