MEDICARE: DIGNITY HOME HEALTHCARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1114273919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIGNITY HOME HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	12777 FOREST HILL BLVD
Second Line	:	SUITE 1502
City	:	WELLINGTON
State	:	FL
Zip	:	33414-4775
Country	:	US
Telephone Number	:	561-345-3448
Fax Number	:	561-345-3454

Provider Business Practice Location Address
First Line	:	12777 FOREST HILL BLVD
Second Line	:	SUITE 1502
City	:	WELLINGTON
State	:	FL
Zip	:	33414-4775
Country	:	US
Telephone Number	:	561-345-3448
Fax Number	:	561-345-3454

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRUCE OSLER
Credential	:
Telephone Number	:	561-345-3448

Provider Enumeration Date	:	07/30/2012
Last Update Date	:	11/15/2012

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Directions to “DIGNITY HOME HEALTHCARE SERVICES LLC ” Practice Location

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