Healthcare Provider Details

I. General information

NPI: 1417089350
Provider Name (Legal Business Name): DIGNITY COMMUNITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 12/28/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18300 ROSCOE BLVD
NORTHRIDGE CA
91325-4105
US

IV. Provider business mailing address

3215 PROSPECT PARK DR
RANCHO CORDOVA CA
95670-6017
US

V. Phone/Fax

Practice location:
  • Phone: 818-885-8500
  • Fax: 818-885-5439
Mailing address:
  • Phone: 888-488-7667
  • Fax: 916-414-4741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number930000114
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number930000114
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number930000114
License Number StateCA

VIII. Authorized Official

Name: DOUGLAS BROWN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 818-885-5321