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NPI 1245108034

NPI 1245108034 : DIGNITAS SENIOR CARE : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1245108034
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    Entity Type          |    Organization 
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    Legal Business Name  |    DIGNITAS SENIOR CARE 
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Dates
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    Enumeration Date     |    10/24/2025
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    Last Update Date     |    10/24/2025
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Provider Practice Location Address
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    Address Line         |    17038 REDLAND RD STE 105 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78247-2308
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    Country              |    US
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    Telephone            |    417-844-1064
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4422 ORCHARD RIM 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78259-1702
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    Country              |    US
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    Telephone            |    417-844-1064
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/MEDICAL ADMINISTRATOR
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    Name                 |    MR. GRIFFIN TONGIA SIMMONS 
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    Credential           |    
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    Telephone            |    417-844-1064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    
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