Provider Demographics
NPI:1871966044
Name:#HOMEDIGNITY, LLC
Entity type:Organization
Organization Name:#HOMEDIGNITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:GABBARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:513-594-1090
Mailing Address - Street 1:7045 CORPORATE WAY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4200
Mailing Address - Country:US
Mailing Address - Phone:513-594-1090
Mailing Address - Fax:
Practice Address - Street 1:7045 CORPORATE WAY
Practice Address - Street 2:SUITE 1
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-4200
Practice Address - Country:US
Practice Address - Phone:513-594-1090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care