=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366353369
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AT HOME WITH DIGNITY INCORPORATED
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/16/2026
-----------------------------------------------------
Last Update Date | 09/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 925 E MAIN ST STE 72
-----------------------------------------------------
City | HAVELOCK
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28532-2375
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-639-8737
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1088
-----------------------------------------------------
City | HAVELOCK
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28532-1088
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-639-8737
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF FINANCIAL OFFICER
-----------------------------------------------------
Name | TYTIANA PRIDGEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 252-639-8737
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 385H00000X
-----------------------------------------------------
Taxonomy Name | Respite Care
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------