- Enrollment id
- O20081009000627
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1093961823
- Multiple npi flag
- N
- Ccn
- 059083
- Associate id
- 4486722006
- Organization name
- DEPENDABLE HOME CARE SERVICES INC
- Incorporation date
- 2008-06-24
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5924 E LOS ANGELES AVE
- Address line 2
- STE O
- City
- SIMI VALLEY
- State
- CA
- Zip code
- 930635526