Healthcare Provider Details

I. General information

NPI: 1083504294
Provider Name (Legal Business Name): DIGNIFIED ASSISTANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23020 EDWARD ST
DEARBORN MI
48128-2305
US

IV. Provider business mailing address

23020 EDWARD ST
DEARBORN MI
48128-2305
US

V. Phone/Fax

Practice location:
  • Phone: 313-258-7280
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: ELISSA KARIM
Title or Position: MEMBER
Credential:
Phone: 313-258-7280