Organization Active NPI

Dependable Healthcare Services Inc.

  • Home Health Agency
  • Danvers, MA
National Provider Identifier
1679634216
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
TPJU Issued in MA
Legal business name
DEPENDABLE HEALTHCARE SERVICES INC.
Practice address
100 Conifer Hill Dr Ste 502
Danvers, MA 01923-1174
Phone
(781) 558-9555
Fax
(781) 558-9552
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Ms. Iguodala I Dew
Title
President
Phone
(781) 286-1566

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TPJU MA Primary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X TPJU MA

Addresses

Primary practice location

100 Conifer Hill Dr Ste 502
Danvers, MA 01923-1174

Mailing address

100 Conifer Hill Dr Ste 502
Danvers, MA 01923-1174
Phone (781) 558-9555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150109000063 MA Part A Provider - Home Health Agency 8820098825 Practice locations: Danvers, MA

Home health agency certification: CCN 227693

Legal name
DEPENDABLE HEALTHCARE SERVICES INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 22, 2016
Last certification
Oct 23, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 2, 2002 in MA
Enrollment address
100 Conifer Hill Dr
Ste 502
Danvers, MA 01923-1174

Care Compare: Home health agency

Medicare Care Compare
Listed as
Dependable Healthcare Services IncCCN 227693
Ownership
Proprietary
Certified
Dec 22, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

National Provider Directory

National Provider Directory

Locations

100 Conifer Hill Dr
Ste 502
Danvers, MA 01923
Phone (781) 558-9555

270 Broadway
Ste 1
Revere, MA 02151

999 Broadway
Ste 103
Saugus, MA 01906
Phone (781) 558-9555

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Iguodala I. Girolamo Individual 5% Or Greater Direct Ownership Interest Jun 2, 2002 95%
Corporate OfficerPresident Jun 2, 2002 95%
Corporate Director Jun 2, 2002 2%
W-2 Managing EmployeeAdministrator Jun 2, 2002 95%

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1679634216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CONIFER HILL DR STE 502",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231174",
            "telephone_number": "781-558-9555",
            "fax_number": "781-558-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CONIFER HILL DR STE 502",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231174",
            "telephone_number": "781-558-9555",
            "fax_number": "781-558-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPENDABLE HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "DEW",
        "authorized_official_first_name": "IGUODALA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-286-1566",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "TPJU",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MA",
            "license": "TPJU",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.