Provider Demographics
NPI:1043594740
Name:DIGNITY HOME CARE
Entity Type:Organization
Organization Name:DIGNITY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-222-6001
Mailing Address - Street 1:585 STEWART AVE
Mailing Address - Street 2:SUITE 630
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4783
Mailing Address - Country:US
Mailing Address - Phone:516-222-6001
Mailing Address - Fax:516-222-6002
Practice Address - Street 1:585 STEWART AVE
Practice Address - Street 2:SUITE 630
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4783
Practice Address - Country:US
Practice Address - Phone:516-222-6001
Practice Address - Fax:516-222-6002
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNRISE SENIOR LIVING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0622L011251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health