Dignified Home Care for Seniors LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIGNIFIED HOME CARE FOR SENIORS LLC

Practice address

5724 Comanche Peak Dr
Fort Worth, TX 76179-7103

Phone

(817) 891-0645

NPI assigned

May 28, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jesse Mitambo

Title

Administrator/ President

Phone

(817) 891-0645

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1174935936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 COMANCHE PEAK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 COMANCHE PEAK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797103",
            "telephone_number": "817-891-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNIFIED HOME CARE FOR SENIORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "MITAMBO",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "ADMINISTRATOR/ PRESIDENT",
        "authorized_official_telephone_number": "817-891-0645"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jo Dietz, LMSW
• Quang Thieu Dieu
• David Michael Diffley, MD
• Kathryn Diggs, PA
• Digital Diagnostic Imaging, Inc.
• Dignity Hospice Care Inc
• Chinaka Mary Dike
• Barry Dikes, MPT
• Korinne B. Dikes
• Sudharani Dikkala, M.D.

• In Home Supportive Care Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.