Active NPI
Dignity and Wisdom Home Care LLC
- Assisted Living Facility
- Tustin, CA
National Provider Identifier
1164204228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- DIGNITY AND WISDOM HOME CARE LLC
- Practice address
- 17331 Vinewood Ave
Tustin, CA 92780-2550 - Phone
- (714) 261-7435
- Fax
- (714) 451-4488
- NPI assigned
- Oct 13, 2023
- Last updated
- Dec 13, 2024
- Organization subpart
- Yes
- Parent organization
- DIGNITY AND WISDOME HOME CARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saba Y Tesfay, NP
- Title
- Administrator
- Phone
- (714) 261-7435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
17331 Vinewood Ave
Tustin, CA 92780-2550
Mailing address
2255 El Rancho Vis
Fullerton, CA 92833-1725
Phone (714) 261-7435
Other names 1
- Dignity and Wisdom
National Provider Directory
National Provider Directory- Tax ID family
- Dignity and Wisdom Home Care LLC
- Part of
- Dignity and Wisdom Home Care LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Dignity and Wisdom Home Care LLC
- Assisted Living Facility
- Fullerton, CA
- NPI 1942996632
-
- Assisted Living Facility (Mental Illness)
- Fullerton, CA
- NPI 1427830595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734048000000",
"number": "1164204228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 EL RANCHO VIS",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928331725",
"telephone_number": "714-261-7435",
"fax_number": "714-451-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17331 VINEWOOD AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927802550",
"telephone_number": "714-261-7435",
"fax_number": "714-451-4488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGNITY AND WISDOM HOME CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DIGNITY AND WISDOME HOME CARE LLC",
"enumeration_date": "2023-10-13",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A",
"authorized_official_last_name": "TESFAY",
"authorized_official_first_name": "SABA",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "714-261-7435",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dignity and Wisdom",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.