Provider Demographics
NPI:1629737358
Name:DIGNITY INTERNATIONAL HOMECARE LLC
Entity Type:Organization
Organization Name:DIGNITY INTERNATIONAL HOMECARE LLC
Other - Org Name:DIGNITY INTERNATIONAL HOMECARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:CNA CMT AAS HCA BS
Authorized Official - Phone:314-309-9220
Mailing Address - Street 1:2055 CRAIGSHIRE RD STE 200F
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-4044
Mailing Address - Country:US
Mailing Address - Phone:314-309-9220
Mailing Address - Fax:
Practice Address - Street 1:2055 CRAIGSHIRE RD STE 200F
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-4044
Practice Address - Country:US
Practice Address - Phone:314-309-9220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty