Provider Demographics
NPI:1427428788
Name:DIGNITY HOSPICE PROVIDER
Entity type:Organization
Organization Name:DIGNITY HOSPICE PROVIDER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-536-3246
Mailing Address - Street 1:22030 MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-2943
Mailing Address - Country:US
Mailing Address - Phone:424-536-3246
Mailing Address - Fax:424-536-3244
Practice Address - Street 1:22030 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-2943
Practice Address - Country:US
Practice Address - Phone:424-536-3246
Practice Address - Fax:424-536-3244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based