Provider Demographics
NPI:1023982154
Name:MY DIGNITY SENIOR SAFE HOMES LLC
Entity type:Organization
Organization Name:MY DIGNITY SENIOR SAFE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO-DONADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-488-8722
Mailing Address - Street 1:2803 MCKINLEY RD UNIT D
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-6087
Mailing Address - Country:US
Mailing Address - Phone:424-600-5554
Mailing Address - Fax:
Practice Address - Street 1:2803 MCKINLEY RD UNIT D
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-6087
Practice Address - Country:US
Practice Address - Phone:423-600-5554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CASTILLO DONADO CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care