Active NPI
Dependable Senior Care LLC
- In Home Supportive Care Agency
- West Palm Beach, FL
National Provider Identifier
1487058400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 30211730
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119786400 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Dependable Senior Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Coral Springs, FL
- NPI 1871956375
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.