Organization Active NPI

Dependable Home Health, Inc

  • Home Health Agency
  • Nogales, AZ
National Provider Identifier
1821093964
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA 3393 Issued in AZ
Legal business name
DEPENDABLE HOME HEALTH, INC
Practice address
855 W Bell Rd Ste 300
Nogales, AZ 85621-4578
Phone
(520) 761-3211
Fax
(520) 281-9213
NPI assigned
Jun 16, 2005
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Mr. Tom R Pepping
Title
Cfo/President
Phone
(520) 901-5224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA 3393 AZ Primary

Addresses

Primary practice location

855 W Bell Rd Ste 300
Nogales, AZ 85621-4578

Mailing address

855 W Bell Rd Ste 300
Nogales, AZ 85621-4578
Phone (520) 721-3822

Other identifiers 2

IdentifierTypeStateIssuer
AZ0702680OtherBLUE CROSS/BLUE SHIELD AZ
789472MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030318000012 AZ Part A Provider - Home Health Agency 9234048489 Practice locations: Nogales, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821093964. Details of each certification follow.

Home health agency certification: CCN 037129

Legal name
DEPENDABLE HOME HEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 14, 1992
Last certification
Jan 15, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 24, 2002 in AZ
Enrollment address
857 W Bell Rd
Ste 7
Nogales, AZ 85621-4545

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Dependable Home Health, Inc.CCN 037129 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 14, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0889648Dependable Home Health, Inc855 W Bell Rd Ste 300, Nogales, AZ 85621Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Dependable Home Health - Nogales2 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

855 W Bell Rd
Ste 300
Nogales, AZ 85621
Phone (520) 761-3211

857 W Bell Rd
Ste 7
Nogales, AZ 85621
Phone (520) 761-3211

1121 N El Dorado Pl
Ste 350
Tucson, AZ 85715
Phone (520) 721-3822

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Roy G Farrell Individual Corporate DirectorDirector Jan 24, 2012
Basil E Horner Individual Corporate DirectorDirector Jul 24, 2012
National Health Advisors LLC Organization, Tucson, AZ LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 26, 2009 60%
Maryann Juarez Individual Corporate DirectorBoard Director Jun 1, 2019
Rebecca Ann Mott Individual W-2 Managing EmployeeChief Nursing Officer Oct 23, 2023
David C Smallhouse Individual Corporate DirectorDirector Jul 23, 2013
Michael J Duran Individual Corporate DirectorBoard Director Sep 18, 2019
Thomas Russell Pepping Individual Corporate OfficerTreasurer Mar 21, 2016
W-2 Managing EmployeeChief Financial Officer Mar 21, 2016
Joseph Matthew Schifano Individual 5% Or Greater Direct Ownership InterestChairman/Ceo Jan 24, 2002 20%
Corporate OfficerChairman/Ceo Jul 23, 2013
Corporate DirectorChairman/Ceo Apr 16, 2003
Ascension Arizona Organization, Tucson, AZ Non-profit 5% Or Greater Direct Ownership Interest May 5, 2002 20%

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1821093964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W BELL RD STE 300",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856214578",
            "telephone_number": "520-721-3822",
            "fax_number": "520-512-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W BELL RD STE 300",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856214578",
            "telephone_number": "520-761-3211",
            "fax_number": "520-281-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPENDABLE HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "PEPPING",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO/PRESIDENT",
        "authorized_official_telephone_number": "520-901-5224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA 3393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD AZ",
            "identifier": "AZ0702680",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "789472",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nogales, AZ

Sources for this page

Verify at the official NPI Registry.