Healthcare Provider Details

I. General information

NPI: 1134614282
Provider Name (Legal Business Name): DIGNIFY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2018
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4619 STATE RD
DREXEL HILL PA
19026-4423
US

IV. Provider business mailing address

4619 STATE RD
DREXEL HILL PA
19026-4423
US

V. Phone/Fax

Practice location:
  • Phone: 610-348-2769
  • Fax:
Mailing address:
  • Phone: 610-348-2769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier613449
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerPA REGISTERED NURSE

VIII. Authorized Official

Name: MS. BERNADETTE ORUMWENSE
Title or Position: ALT ADMINISTRATOR
Credential: REGISTERED NURSE
Phone: 610-348-2769