Provider Demographics
NPI:1235471913
Name:DIGNITY HOSPICE LLC
Entity Type:Organization
Organization Name:DIGNITY HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DENNISA
Authorized Official - Middle Name:MARIANA
Authorized Official - Last Name:ARDELEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-703-8151
Mailing Address - Street 1:7418 E HELM DR SUITE 256
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3683
Mailing Address - Country:US
Mailing Address - Phone:602-703-8171
Mailing Address - Fax:602-633-6111
Practice Address - Street 1:7418 E HELM DR SUITE 256
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3683
Practice Address - Country:US
Practice Address - Phone:602-703-8171
Practice Address - Fax:602-633-6111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based