Dignity Hospice Provider

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DIGNITY HOSPICE PROVIDER

Practice address

22030 Main St Ste 201
Carson, CA 90745-2943

Phone

(424) 536-3246

Fax

(424) 536-3244

NPI assigned

Sep 30, 2015

Organization subpart

No

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

Authorized official

Name

Eleanor Valdez

Title

President

Phone

(424) 536-3246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A01633

Legal name

DIGNITY HOSPICE PROVIDER

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 25, 2019

Last certification

Mar 25, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 24, 2015 in CA

Enrollment address

22030 Main St
Ste 204
Carson, CA 90745-2943

Listed as

Dignity Hospice ProviderCCN A01633 · All quality measures

Ownership

For-Profit

Certified

Mar 25, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Ava Septe T Salarda, N.P.

  • Gerontology Nurse Practitioner
  • Harbor City, CA
  • NPI 1225307804

  Corporate Director, Corporate Officer

  CMS ownership

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1427428788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22030 MAIN ST STE 201",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452943",
            "telephone_number": "424-536-3246",
            "fax_number": "424-536-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22030 MAIN ST STE 201",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452943",
            "telephone_number": "424-536-3246",
            "fax_number": "424-536-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HOSPICE PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-536-3246"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mili Manish Desai, PA
• Yogina Chandrakant Desai, M.D.
• Diamond Medical Transport, Inc.
• Alice Diego-Malit, MD
• Iluminada Diego, MD
• Cuc Dinh, R.PH
• Divine Holy Homehealth Inc
• Dixon Recovery Institute,Inc. 2
• Dominguez Hills Dental Group
• Norma Dominguez-Fabian, MA

• Community Based Hospice Care Agency in Carson, CA
• Providers in Carson, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.