Organization Active NPI

Dignity Home Health Service LLC

  • Home Health Agency
  • Euclid, OH
National Provider Identifier
1346769379
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIGNITY HOME HEALTH SERVICE LLC
Practice address
27691 Euclid Ave # B6
Euclid, OH 44132-3550
Phone
(614) 393-3991
Fax
(216) 393-3998
NPI assigned
Sep 11, 2017
Last updated
Jan 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Zainab Abdi
Title
Administrator
Phone
(614) 596-4827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

27691 Euclid Ave # B6
Euclid, OH 44132-3550

Mailing address

27691 Euclid Ave # B6
Euclid, OH 44132-3550
Phone (614) 393-3991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171218000428 OH Part A Provider - Home Health Agency 4880952092 Practice locations: Euclid, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346769379. Details of each certification follow.

Home health agency certification: CCN 369197

Legal name
DIGNITY HOME HEALTH SERVICE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 21, 2018
Last certification
Nov 21, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 7, 2017 in OH
Enrollment address
27691 Euclid Ave
Ste B6
Euclid, OH 44132-3550

Care Compare: Home health agency

Medicare Care Compare
Listed as
Dignity Home Health Service LLCCCN 369197 · All quality measures
Ownership
Proprietary
Certified
Nov 21, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2142167Dignity Home Health Service, LLC27691 Euclid Ave, Euclid, OH 44132Certificate of waiverJan 3, 2028

National Provider Directory

National Provider Directory

Locations

27691 Euclid Ave
Ste B-6
Euclid, OH 44132
Phone (216) 393-3991

4320 Mayfield Rd
Ste 112
South Euclid, OH 44121
Phone (216) 393-3991

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Zainab Abdi Individual 5% Or Greater Direct Ownership Interest Sep 7, 2017 100%
5% Or Greater Security Interest Sep 7, 2017 100%
Corporate OfficerPresident Sep 7, 2017 100%
Corporate DirectorAdministrator Sep 7, 2017 100%
W-2 Managing Employee Sep 7, 2017 100%

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1346769379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27691 EUCLID AVE # B6",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323550",
            "telephone_number": "614-393-3991",
            "fax_number": "216-393-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27691 EUCLID AVE # B6",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323550",
            "telephone_number": "614-393-3991",
            "fax_number": "216-393-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HOME HEALTH SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "ZAINAB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-596-4827"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.