Provider Demographics
NPI:1912389057
Name:DIGNIFIED HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:DIGNIFIED HOME CARE SERVICES, LLC
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-347-3005
Mailing Address - Street 1:9600 W GREENFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-2601
Mailing Address - Country:US
Mailing Address - Phone:262-347-3005
Mailing Address - Fax:262-436-1356
Practice Address - Street 1:9600 W GREENFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-2601
Practice Address - Country:US
Practice Address - Phone:262-347-3005
Practice Address - Fax:262-436-1356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-25
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care