Healthcare Provider Details

I. General information

NPI: 1477400273
Provider Name (Legal Business Name): DIGNITYCARE HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 DOVEHOUSE LN
MODESTO CA
95355-8691
US

IV. Provider business mailing address

3100 DOVEHOUSE LN
MODESTO CA
95355-8691
US

V. Phone/Fax

Practice location:
  • Phone: 209-551-0787
  • Fax: 916-357-7266
Mailing address:
  • Phone: 209-551-0787
  • Fax: 916-357-7266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ALDRIN G BASARTE
Title or Position: OWNER/ADMINISTRATOR
Credential: BASARTE
Phone: 916-521-9868