Active NPI
Foundation for Dignity Care LLC
- Mental Illness Community Based Residential Treatment Facility
- Peoria, AZ
National Provider Identifier
1194428581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.