Provider Demographics
NPI:1154718864
Name:DIGNITY HOME HEALTH CARE AGENCY INC.
Entity type:Organization
Organization Name:DIGNITY HOME HEALTH CARE AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MOTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-610-0548
Mailing Address - Street 1:1515 W 100TH PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-2103
Mailing Address - Country:US
Mailing Address - Phone:773-610-0548
Mailing Address - Fax:
Practice Address - Street 1:1515 W 100TH PL
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-2103
Practice Address - Country:US
Practice Address - Phone:773-610-0548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health