MEDICARE: DIGNITY HOME HEALTH 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	:	1962174136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIGNITY HOME HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	556 40TH AVE NE UNIT 1
Second Line	:
City	:	COLUMBIA HEIGHTS
State	:	MN
Zip	:	55421-3835
Country	:	US
Telephone Number	:	612-489-6029
Fax Number	:	612-489-6042

Provider Business Practice Location Address
First Line	:	556 40TH AVE NE UNIT 1
Second Line	:
City	:	COLUMBIA HEIGHTS
State	:	MN
Zip	:	55421-3835
Country	:	US
Telephone Number	:	612-489-6029
Fax Number	:	612-489-6042

Authorized Official
Title or Position	:	OWNER
Name	:	FOUZIA GADID
Credential	:
Telephone Number	:	763-439-8892

Provider Enumeration Date	:	10/05/2021
Last Update Date	:	04/17/2026

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