Organization Active NPI

Dependable Senior Care LLC

  • In Home Supportive Care Agency
  • West Palm Beach, FL
National Provider Identifier
1487058400
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
30211730 Issued in FL
Legal business name
DEPENDABLE SENIOR CARE LLC
Practice address
2000 Palm Beach Lakes Blvd Ste 202
West Palm Beach, FL 33409-6504
Phone
(561) 806-6525
Fax
(561) 634-2797
NPI assigned
Oct 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Mr. Robert Gregory Roche Jr.
Title
Owner
Phone
(561) 699-0348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 30211730 FL Primary

Addresses

Primary practice location

2000 Palm Beach Lakes Blvd Ste 202
West Palm Beach, FL 33409-6504

Mailing address

2000 Palm Beach Lakes Blvd Ste 202
West Palm Beach, FL 33409-6504
Phone (561) 806-6525

Other identifiers 1

IdentifierTypeStateIssuer
119786400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Dependable Senior Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1702 Corporate Dr
Boynton Beach, FL 33426

15204 S Jog Rd
Ste 205
Delray Beach, FL 33446

2000 Palm Beach Lakes Blvd
Ste 202
West Palm Beach, FL 33409
Phone (561) 806-6525

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1487058400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACH LAKES BLVD STE 202",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096504",
            "telephone_number": "561-806-6525",
            "fax_number": "561-634-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACH LAKES BLVD STE 202",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096504",
            "telephone_number": "561-806-6525",
            "fax_number": "561-634-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPENDABLE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-699-0348",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30211730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119786400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.