Active NPI
Tru East Dignity Homecare Corporation
- Adult Companion
- Avondale, AZ
National Provider Identifier
1043780083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Legal business name
- TRU EAST DIGNITY HOMECARE CORPORATION
- Practice address
- 105 N Links Dr Apt 1061
Avondale, AZ 85323-3046 - Phone
- (480) 487-8480
- Fax
- (602) 595-9977
- NPI assigned
- Dec 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jimmy Lee Ellis
- Title
- President
- Phone
- (480) 487-8480
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary | ||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
105 N Links Dr Apt 1061
Avondale, AZ 85323-3046
Mailing address
3420 E Shea Blvd Ste 200
Phoenix, AZ 85028-3348
Phone (029) 535-3766
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Companion
- Avondale, AZ
- NPI 1376013326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546646400000",
"number": "1043780083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 E SHEA BLVD STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283348",
"telephone_number": "029-535-3766",
"fax_number": "602-595-9977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N LINKS DR APT 1061",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853233046",
"telephone_number": "480-487-8480",
"fax_number": "602-595-9977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRU EAST DIGNITY HOMECARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-03",
"last_updated": "2019-01-05",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "JIMMY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-487-8480",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.