Organization Active NPI

Dignity Healthcare, LLC

  • Home Health Agency
  • Independence, MO
National Provider Identifier
1194938092
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
722792-0-095-0000 Issued in MO
Legal business name
DIGNITY HEALTHCARE, LLC
Practice address
17201 East US 40 Hwy
Suite 205
Independence, MO 64055-6438
Phone
(816) 795-5534
Fax
(816) 795-5526
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marilyn Christine Bruursema, RN
Title
Director
Phone
(816) 795-5534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 722792-0-095-0000 MO Primary

Addresses

Primary practice location

17201 East US 40 Hwy
Suite 205
Independence, MO 64055-6438

Mailing address

17201 East U.S. 40 Hwy
Suite 205
Independence, MO 64055-6438
Phone (816) 795-5534

National Provider Directory

National Provider Directory

Locations

17201 E US Highway 40
Ste 205
Independence, MO 64055
Phone (816) 795-5534

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194938092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17201 EAST U.S. 40 HWY",
            "address_2": "SUITE 205",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556438",
            "telephone_number": "816-795-5534",
            "fax_number": "816-795-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17201 EAST US 40 HWY",
            "address_2": "SUITE 205",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556438",
            "telephone_number": "816-795-5534",
            "fax_number": "816-795-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUURSEMA",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "816-795-5534",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "722792-0-095-0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.