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  5. DEPENDABLE HEALTHCARE SERVICES, LLC.

DEPENDABLE HEALTHCARE SERVICES, LLC.

Company Details

Name: DEPENDABLE HEALTHCARE SERVICES, LLC.
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 10 Mar 2008 (17 years ago)
Identification Number: 000313422
ZIP code: 02898
County: Washington County
Principal Address: 1171 MAIN STREET SUITE B P.O. BOX 425, WYOMING, RI, 02898, USA
Mailing Address: 1171 MAIN STR SUITE B, WYOMING, RI, 02898, USA
Purpose: A HOME NURSING CARE PROVIDER (R23-17-HNC/HC/PRO) IN RHODE ISLAND. PROVIDING QUALITY AND CARING HEALTHCARE SERVICES TO CLIENTS IN THE COMFORT AND PRIVACY OF THEIR OWN HOMES.
NAICS: 621610 - Home Health Care Services
Fictitious names: Dependable Home Care (trading name, 2011-04-29 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821325366 2009-11-04 2011-05-26 120 ARCADIA RD, HOPE VALLEY, RI, 028321329, US 1171 MAIN STREET,, SUITE C, WYOMING, RI, 02898, US

Contacts
Phone +1 401-491-9003
Fax 4014919054

Authorized person
Name EPHRAIM U JACOB
Role PRESIDENT/CEO
Phone 4014919003

Taxonomy
Taxonomy Code 251E00000X - Home Health Agency
License Number HNC02342
State RI
Is Primary Yes
Taxonomy Code 251J00000X - Nursing Care Agency
License Number HNC02342
State RI
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number DE78467
State RI
Issuer MEDICAID
Number DE78468
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DEPENDABLE HEALTHCARE SERVICES, LLC 401(K) P/S PLAN 2016 161658825 2017-11-13 DEPENDABLE HEALTHCARE SERVICES, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 4014919003
Plan sponsor’s address 120 ARCADIA RD, HOPE VALLEY, RI, 02832

Signature of
Role Plan administrator
Date 2017-11-12
Name of individual signing EPHRAIM JACOB
Valid signature Filed with authorized/valid electronic signature
DEPENDABLE HEALTHCARE SERVICES, LLC 401(K) P/S PLAN 2016 161658825 2017-04-12 DEPENDABLE HEALTHCARE SERVICES, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 4014919003
Plan sponsor’s address 1171 MAIN ST STE B, P.O. BOX 425, WYOMING, RI, 02898

Plan administrator’s name and address
Administrator’s EIN 161658825
Plan administrator’s name DEPENDABLE HEALTHCARE SERVICES, LLC
Plan administrator’s address 1171 MAIN ST STE B, P.O. BOX 425, WYOMING, RI, 02898
Administrator’s telephone number 4014919003

Signature of
Role Plan administrator
Date 2017-04-12
Name of individual signing EPHRAIM JACOB
Valid signature Filed with authorized/valid electronic signature
DEPENDABLE HEALTHCARE SERVICES, LLC 401(K) P/S PLAN 2015 161658825 2017-04-12 DEPENDABLE HEALTHCARE SERVICES, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 4014919003
Plan sponsor’s address 120 ARCADIA RD, HOPE VALLEY, RI, 02832

Plan administrator’s name and address
Administrator’s EIN 161658825
Plan administrator’s name DEPENDABLE HEALTHCARE SERVICES, LLC
Plan administrator’s address 120 ARCADIA RD, HOPE VALLEY, RI, 02832
Administrator’s telephone number 4014919003

Signature of
Role Plan administrator
Date 2017-04-12
Name of individual signing EPHRAIM JACOB
Valid signature Filed with authorized/valid electronic signature
DEPENDABLE HEALTHCARE SERVICES, LLC 401(K) P/S PLAN 2015 161658825 2016-04-20 DEPENDABLE HEALTHCARE SERVICES, LLC 14
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 4014919003
Plan sponsor’s address 120 ARCADIA RD, HOPE VALLEY, RI, 02832

Plan administrator’s name and address
Administrator’s EIN 161658825
Plan administrator’s name DEPENDABLE HEALTHCARE SERVICES, LLC
Plan administrator’s address 120 ARCADIA RD, HOPE VALLEY, RI, 02832
Administrator’s telephone number 4014919003

Signature of
Role Plan administrator
Date 2016-04-20
Name of individual signing EPHRAIM JACOB
Valid signature Filed with authorized/valid electronic signature
DEPENDABLE HEALTHCARE SERVICES, LLC 401(K) P/S PLAN 2014 161658825 2015-06-12 DEPENDABLE HEALTHCARE SERVICES, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 4014919003
Plan sponsor’s address 120 ARCADIA RD, HOPE VALLEY, RI, 02832

Plan administrator’s name and address
Administrator’s EIN 161658825
Plan administrator’s name DEPENDABLE HEALTHCARE SERVICES, LLC
Plan administrator’s address 120 ARCADIA RD, HOPE VALLEY, RI, 02832
Administrator’s telephone number 4014919003

Signature of
Role Plan administrator
Date 2015-06-12
Name of individual signing EPHRAIM JACOB
Valid signature Filed with authorized/valid electronic signature
DEPENDABLE HEALTHCARE SERVICES, LLC 401(K) P/S PLAN 2013 161658825 2014-05-16 DEPENDABLE HEALTHCARE SERVICES, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 4014919003
Plan sponsor’s address 120 ARCADIA RD, HOPE VALLEY, RI, 02832

Plan administrator’s name and address
Administrator’s EIN 161658825
Plan administrator’s name DEPENDABLE HEALTHCARE SERVICES, LLC
Plan administrator’s address 120 ARCADIA RD, HOPE VALLEY, RI, 02832
Administrator’s telephone number 4014919003

Signature of
Role Plan administrator
Date 2014-05-16
Name of individual signing EPHRAIM JACOB
Valid signature Filed with authorized/valid electronic signature
DEPENDABLE HEALTHCARE SERVICES, LLC 401(K) P/S PLAN 2012 161658825 2013-08-09 DEPENDABLE HEALTHCARE SERVICES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 623000
Sponsor’s telephone number 4014919003
Plan sponsor’s address 120 ARCADIA RD, HOPE VALLEY, RI, 02832

Plan administrator’s name and address
Administrator’s EIN 161658825
Plan administrator’s name DEPENDABLE HEALTHCARE SERVICES, LLC
Plan administrator’s address 120 ARCADIA RD, HOPE VALLEY, RI, 02832
Administrator’s telephone number 4014919003

Signature of
Role Plan administrator
Date 2013-08-09
Name of individual signing EPHRAIM JACOB
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ELIZABETH JACOB Agent 1171 MAIN STREET SUITE B P.O. BOX 425, WYOMING, RI, 02898, USA

Filings

Number Name File Date
202444769590 Annual Report 2024-01-25
202335501580 Annual Report 2023-05-10
202210148390 Annual Report 2022-02-11
202101575450 Annual Report 2021-09-15
202068427430 Annual Report 2020-10-25
201913973940 Annual Report 2019-08-19
201874504740 Annual Report 2018-08-14
201749409950 Annual Report 2017-09-08
201610604930 Statement of Change of Registered/Resident Agent Office 2016-10-19
201610604840 Annual Report - Amended 2016-10-19

Related by officers

ELIZABETH JACOB

Hope Medical Foundation Inc.

Related by address

No related companies by address

Date of last update: 11 Oct 2024

Sources: Rhode Island Department of State

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