Organization Active NPI

Dependable Nursing Services, LLC

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1922439298
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
080000223 Issued in CA
Legal business name
DEPENDABLE NURSING SERVICES, LLC
Practice address
9665 Chesapeake Dr
Suite 401
San Diego, CA 92123-1367
Phone
(858) 430-0550
Fax
(858) 430-0564
NPI assigned
Dec 11, 2013
Organization subpart
Yes
Parent organization
DEPENDABLE NURSING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Mr. Jackson Long
Title
Director
Phone
(760) 602-0583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 080000223 CA Primary

Addresses

Primary practice location

9665 Chesapeake Dr
Suite 401
San Diego, CA 92123-1367

Mailing address

9665 Chesapeake Dr
Suite 401
San Diego, CA 92123-1367
Phone (858) 430-0550

Other identifiers 1

IdentifierTypeStateIssuer
HHA70233GMedicaidCA

National Provider Directory

National Provider Directory
Part of
Dependable Nursing LLC

Locations

9665 Chesapeake Dr
Ste 401
San Diego, CA 92123
Phone (858) 430-0550

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1922439298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9665 CHESAPEAKE DR",
            "address_2": "SUITE 401",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231367",
            "telephone_number": "858-430-0550",
            "fax_number": "858-430-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9665 CHESAPEAKE DR",
            "address_2": "SUITE 401",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231367",
            "telephone_number": "858-430-0550",
            "fax_number": "858-430-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPENDABLE NURSING SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPENDABLE NURSING, LLC",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-602-0583",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "080000223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA70233G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.