Provider Demographics
NPI:1689310765
Name:DIGNITY HOME CARE SERVICES
Entity Type:Organization
Organization Name:DIGNITY HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:OLASEYI
Authorized Official - Last Name:ABIDEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-498-0779
Mailing Address - Street 1:4623 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-5011
Mailing Address - Country:US
Mailing Address - Phone:773-433-6565
Mailing Address - Fax:
Practice Address - Street 1:4623 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-5011
Practice Address - Country:US
Practice Address - Phone:773-433-6565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty