Provider Demographics
NPI:1790554228
Name:DIGNACARE AT HOME
Entity Type:Organization
Organization Name:DIGNACARE AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-965-8528
Mailing Address - Street 1:1425 W PIONEER DR STE 159
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-7124
Mailing Address - Country:US
Mailing Address - Phone:469-845-3101
Mailing Address - Fax:469-574-5932
Practice Address - Street 1:1425 W PIONEER DR STE 159
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-7124
Practice Address - Country:US
Practice Address - Phone:469-845-3101
Practice Address - Fax:469-574-5932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-26
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty