Organization Active NPI

Foundation for Dignity Care LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Peoria, AZ
National Provider Identifier
1194428581
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
FOUNDATION FOR DIGNITY CARE LLC
Practice address
7120 W Sunnyslope LN
Peoria, AZ 85345-7287
Phone
(623) 512-8447
NPI assigned
Mar 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Kadiatu Koroma
Title
Co-Founder & Administrator
Phone
(623) 512-8447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

7120 W Sunnyslope LN
Peoria, AZ 85345-7287

Mailing address

7120 W Sunnyslope LN
Peoria, AZ 85345-7287
Phone (623) 512-8447

Other names 1

  • Foundation For Dignity Care LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1194428581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 W SUNNYSLOPE LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457287",
            "telephone_number": "623-512-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 W SUNNYSLOPE LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457287",
            "telephone_number": "623-512-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FOR DIGNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-01-22",
        "status": "A",
        "authorized_official_last_name": "KOROMA",
        "authorized_official_first_name": "KADIATU",
        "authorized_official_title_or_position": "CO-FOUNDER & ADMINISTRATOR",
        "authorized_official_telephone_number": "623-512-8447"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundation For Dignity Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.