Healthcare Provider Details

I. General information

NPI: 1952211625
Provider Name (Legal Business Name): DIGNITY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 DEEP BRANCH RD
PEMBROKE NC
28372-8650
US

IV. Provider business mailing address

PO BOX 511
PEMBROKE NC
28372-0511
US

V. Phone/Fax

Practice location:
  • Phone: 910-522-5340
  • Fax: 910-522-5341
Mailing address:
  • Phone: 910-522-5340
  • Fax: 910-522-5341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA DIAL
Title or Position: DIRECTOR
Credential:
Phone: 910-522-5340