MEDICARE: DIGNITY HOME HEALTHCARE 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	:	1518422476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIGNITY HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1510 BLUE JAY RD
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-2543
Country	:	US
Telephone Number	:	214-892-3729
Fax Number	:	469-782-0403

Provider Business Practice Location Address
First Line	:	1510 BLUE JAY RD
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-2543
Country	:	US
Telephone Number	:	214-892-3729
Fax Number	:	469-782-0403

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. ELVIS NANA TAMIN
Credential	:
Telephone Number	:	214-475-6693

Provider Enumeration Date	:	02/05/2019
Last Update Date	:	02/05/2019

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Directions to “DIGNITY HOME HEALTHCARE LLC ” Practice Location

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