MEDICARE: DIGNITYCARE HOME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility
2	311Z00000X	Custodial Care Facility

General Provider Information

NPI Number	:	1477400273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIGNITYCARE HOME LLC

Provider Business Mailing Address
First Line	:	3100 DOVEHOUSE LN
Second Line	:
City	:	MODESTO
State	:	CA
Zip	:	95355-8691
Country	:	US
Telephone Number	:	209-551-0787
Fax Number	:	916-357-7266

Provider Business Practice Location Address
First Line	:	3100 DOVEHOUSE LN
Second Line	:
City	:	MODESTO
State	:	CA
Zip	:	95355-8691
Country	:	US
Telephone Number	:	209-551-0787
Fax Number	:	916-357-7266

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MR. ALDRIN G BASARTE
Credential	:	BASARTE
Telephone Number	:	916-521-9868

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “DIGNITYCARE HOME LLC ” Practice Location

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