Dependable Nightingales Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

22007096 Issued in FL

Legal business name

DEPENDABLE NIGHTINGALES AGENCY, INC.

Practice address

499 State Road 434
Suite 2125
Altamonte Springs, FL 32714-2170

Phone

(407) 862-0439

Fax

(407) 386-3464

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

Mr. David Fenenbock

Title

Ceo/Position

Phone

(407) 733-6497

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 109735

Legal name

DEPENDABLE NIGHTINGALES AGENCY, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 28, 2011

Last certification

Sep 7, 2017

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 20, 1995 in FL

Enrollment address

499 State Road 434 North
Suite 2125
Altamonte Springs, FL 32714-2170

Listed as

Dependable Nightingales Agency IncCCN 109735

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Jul 28, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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.

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1992980874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 STATE ROAD 434",
            "address_2": "SUITE 2125",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142170",
            "telephone_number": "407-862-0439",
            "fax_number": "407-386-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 STATE ROAD 434",
            "address_2": "SUITE 2125",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142170",
            "telephone_number": "407-862-0439",
            "fax_number": "407-386-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPENDABLE NIGHTINGALES AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "FENENBOCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO/POSITION",
        "authorized_official_telephone_number": "407-733-6497",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "22007096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.