Healthcare Provider Details

I. General information

NPI: 1558143024
Provider Name (Legal Business Name): DIGNITY HOME CARE AND PROVIDER SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25329 INTERSTATE 45 STE 126B
SPRING TX
77380-3438
US

IV. Provider business mailing address

1014 ORIE CT
SPRING TX
77373-8065
US

V. Phone/Fax

Practice location:
  • Phone: 832-403-0709
  • Fax:
Mailing address:
  • Phone: 281-701-2173
  • 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

VIII. Authorized Official

Name: CARMON ALLEN
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 713-979-0445