Provider Demographics
NPI:1225401854
Name:DIGNICARE HEALTH SERVICES INC
Entity type:Organization
Organization Name:DIGNICARE HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-CEO/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLUFUNKE
Authorized Official - Middle Name:ANTHONIA
Authorized Official - Last Name:ADENOLA
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:713-502-8729
Mailing Address - Street 1:117 S FULTON ST STE 104
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488-5059
Mailing Address - Country:US
Mailing Address - Phone:713-502-6318
Mailing Address - Fax:281-657-6219
Practice Address - Street 1:117 S FULTON ST STE 104
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-5059
Practice Address - Country:US
Practice Address - Phone:713-502-6318
Practice Address - Fax:281-657-6219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health