NPIMap

Organization Active NPI

Dignity Community Support Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Rancho Cucamonga, CA
National Provider Identifier
1407641665
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
DIGNITY COMMUNITY SUPPORT SERVICES
Practice address
13631 Jeremy CT
Rancho Cucamonga, CA 91739-2031
Phone
(909) 803-0601
NPI assigned
Apr 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Dr. Laqeishia Hagans, EDDNPI 1063793909
Title
Head of Service
Phone
(909) 312-9480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

13631 Jeremy CT
Rancho Cucamonga, CA 91739-2031

Mailing address

12352 Rutherford Dr
Rancho Cucamonga, CA 91739-8871
Phone (909) 312-9480

Other names 1

  • Dignity STRTP Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1407641665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12352 RUTHERFORD DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398871",
            "telephone_number": "909-312-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13631 JEREMY CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392031",
            "telephone_number": "909-803-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY COMMUNITY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "HAGANS",
        "authorized_official_first_name": "LAQEISHIA",
        "authorized_official_title_or_position": "HEAD OF SERVICE",
        "authorized_official_telephone_number": "909-312-9480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dignity STRTP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.