Provider Demographics
NPI:1003469248
Name:DIGNITY HOSPICE SERVICES CORPORATION
Entity Type:Organization
Organization Name:DIGNITY HOSPICE SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:661-505-2062
Mailing Address - Street 1:14545 FRIAR ST STE 112
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-4712
Mailing Address - Country:US
Mailing Address - Phone:818-484-5832
Mailing Address - Fax:818-484-5833
Practice Address - Street 1:14545 FRIAR ST STE 112
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-4712
Practice Address - Country:US
Practice Address - Phone:818-484-5832
Practice Address - Fax:818-484-5833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-17
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based