Provider Demographics
NPI:1730232208
Name:DIGNITY HOME CARE LLC
Entity type:Organization
Organization Name:DIGNITY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH CARE SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:ROJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-801-0683
Mailing Address - Street 1:PO BOX 1536
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08903-1536
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:805 ONE SPRING STREET
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901
Practice Address - Country:US
Practice Address - Phone:732-317-9596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health