Dependable Healthcare Services, LLC.

Organization Active NPI Home Health Agency · Wyoming, RI

NPI 1821325366 · NPPES record last updated Feb 5, 2026

Key facts

NPI
1821325366
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
HNC02342 (RI)
Legal business name
DEPENDABLE HEALTHCARE SERVICES, LLC.
Practice address
1171 Main St Ste B
Wyoming, RI 02898-1074
Phone
(401) 491-9003
Fax
(401) 491-9054
NPI assigned
Nov 4, 2009
Organization subpart
No

Authorized official

Name
Ephraim U Jacob
Title
President/Ceo
Phone
(401) 491-9003

Medicare Care Compare: Home health agency

Listed as
Dependable Healthcare Services LLC CCN 417065
Ownership
Proprietary
Certified
Jan 25, 2011
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D2011107Dependable Healthcare Services
1171 Main Street Suite B, Wyoming, RI 02898
Certificate of waiverAug 10, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI

Home health agency certification: CCN 417065

Legal name
DEPENDABLE HEALTHCARE SERVICES, LLC.
Doing business as
DEPENDABLE HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 25, 2011
Last certification
Jan 25, 2011
Ownership / control type
Proprietary
Organization structure
LLC · Proprietary
Incorporated
Mar 10, 2008 in RI
Enrollment address
1171 Main Street
Suite B
Wyoming, RI 02898-0425

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Ephraim U Jacob
Individual
5% Or Greater Direct Ownership Interest Dec 1, 2009 98%
Corporate Officer Jan 1, 2011
Corporate Director Dec 1, 2009
Operational/Managerial Control Jan 1, 2011
Elizabeth Jacob
Individual
5% Or Greater Direct Ownership Interest Dec 1, 2009 2%
Corporate Director Dec 1, 2009
Operational/Managerial Control Mar 28, 2008

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100219000028 RI Part a Provider - Home Health Agency 2769526490 Practice locations: Wyoming, RI; Providence, RI

National Provider Directory

Locations

570 Broad St
Ste 202
Providence, RI 02907
Phone (401) 919-5505

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HNC02342 RI Yes
Nursing Care Agency 251J00000X HNC02342 RI

Addresses

Primary practice location

1171 Main St Ste B
Wyoming, RI 02898-1074

Mailing address

1171 Main St Ste B
Wyoming, RI 02898-1074
Phone (401) 491-9003

Other identifiers

IdentifierTypeStateIssuer
DE78467MedicaidRI
DE78468MedicaidRI

Other names

  • Dependable Home Care Doing business as

Other providers in Wyoming, RI

All providers in Wyoming, RI · Home Health Agency in Rhode Island

Sources for this page

Verify at the official NPI Registry.