Organization Active NPI

Dependable Senior Care LLC

  • In Home Supportive Care Agency
  • Coral Springs, FL
National Provider Identifier
1871956375
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
30211799 Issued in FL
Legal business name
DEPENDABLE SENIOR CARE LLC
Practice address
7401 Wiles Rd
Suite 232
Coral Springs, FL 33067-2036
Phone
(954) 840-6624
Fax
(561) 634-2797
NPI assigned
Apr 1, 2016
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 30211799 FL Primary

Addresses

Primary practice location

7401 Wiles Rd
Suite 232
Coral Springs, FL 33067-2036

Mailing address

7401 Wiles Rd
Suite 232
Coral Springs, FL 33067-2036
Phone (954) 840-6624

Other identifiers 1

IdentifierTypeStateIssuer
119789500MedicaidFL

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

7401 Wiles Rd
Ste 232
Coral Springs, FL 33067
Phone (954) 840-6624

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1871956375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 WILES RD",
            "address_2": "SUITE 232",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672036",
            "telephone_number": "954-840-6624",
            "fax_number": "561-634-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 WILES RD",
            "address_2": "SUITE 232",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672036",
            "telephone_number": "954-840-6624",
            "fax_number": "561-634-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPENDABLE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "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": "30211799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119789500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, 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.