NPI 1558655175

Dependable Home Care Service LLC

Organisation Health Maintenance Organization Hamden, CT

Practice location

Address: 472 Wintergreen Ave, Hamden, CT 06514-3240
Phone: (203) 654-5187
Mailing address: 209 Shelton Ave, New Haven, CT 06511

Authorised official

Name: Sundiata Chaka Keitazulu
Title: Sales Manager
Phone: (203) 654-5187

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence HCAOOOO492 (CT)

Other Health Maintenance Organization providers in Connecticut →

Exclusive Provider Organization

Managed Care Organizations Taxonomy 302F00000X Licence HCA0000492 (CT)

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Registry record

NPI: 1558655175
Entity type: Organization
NPI issued: 31 May 2011
Record last updated: 31 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.