Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Washington County
    4. ›
  4. 02898
    5. ›
  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.
Fictitious names: Dependable Home Care (trading name, 2011-04-29 - )

Industry & Business Activity

NAICS

621610 Home Health Care Services

This industry comprises establishments primarily engaged in providing skilled nursing services in the home, along with a range of the following: personal care services; homemaker and companion services; physical therapy; medical social services; medications; medical equipment and supplies; counseling; 24-hour home care; occupation and vocational therapy; dietary and nutritional services; speech therapy; audiology; and high-tech care, such as intravenous therapy. Learn more at the U.S. Census Bureau

Companies doing Home health care services

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7656348308 2021-01-28 0165 PPS 1171 Main St, Wyoming, RI, 02898-1074
Loan Status Date 2021-11-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 158300
Loan Approval Amount (current) 158300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Wyoming, WASHINGTON, RI, 02898-1074
Project Congressional District RI-02
Number of Employees 34
NAICS code 621610
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 159410.27
Forgiveness Paid Date 2021-10-25

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

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 riorgs.com, Part of Big Data Integrated