Provider Demographics
NPI:1942617592
Name:DIGNIFIED HEALTHCARE SERVICES, LLC.
Entity Type:Organization
Organization Name:DIGNIFIED HEALTHCARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:KOWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-382-9766
Mailing Address - Street 1:6301 ROCKHILL RD
Mailing Address - Street 2:STE 407
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-1124
Mailing Address - Country:US
Mailing Address - Phone:816-382-9766
Mailing Address - Fax:
Practice Address - Street 1:6301 ROCKHILL RD
Practice Address - Street 2:STE 407
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-1124
Practice Address - Country:US
Practice Address - Phone:816-382-9766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care