Dignified Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DIGNIFIED ASSISTED LIVING LLC

Practice address

11818 W Washington St
Avondale, AZ 85323-1183

Phone

(480) 286-8102

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Eunice Wavomba

Title

Owner

Phone

(480) 286-8102

Specialties & licenses 1

Addresses

Other names 1

• Dignified Assisted Living LLC Doing business as

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1235902297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11818 W WASHINGTON ST",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231183",
            "telephone_number": "480-286-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 W WASHINGTON ST",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231183",
            "telephone_number": "480-286-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNIFIED ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "WAVOMBA",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-286-8102"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dignified Assisted Living LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawn Dhanjal, DMD
• Joseph Di Como, MD
• Dialysis Newco LLC
• Diamonds Medical Transportation LLC
• Alexandria Diggins, LPN
• Christian Dion
• Jennifer Lynn Disalvo, PT
• Angela Doan
• Elizabeth Dobson
• Alicia Mary Doell, M.S. CCC-SLP

• Assisted Living Facility in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.