NPIMap

Organization Active NPI

Dignity and Wisdom Home Care LLC

  • Assisted Living Facility (Mental Illness)
  • Fullerton, CA
National Provider Identifier
1427830595
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
DIGNITY AND WISDOM HOME CARE LLC
Practice address
2330 Camino Escondido
Fullerton, CA 92833-1542
Phone
(714) 261-7435
Fax
(714) 451-4488
NPI assigned
Oct 13, 2023
Organization subpart
Yes
Parent organization
DIGNITY AND WISDOM HOME CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Saba Y Tesfay, NP
Title
Administrator
Phone
(714) 261-7435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

2330 Camino Escondido
Fullerton, CA 92833-1542

Mailing address

2255 El Rancho Vis
Fullerton, CA 92833-1725
Phone (714) 261-7435

Other names 1

  • Dignity and Wisdom II Other name

National Provider Directory

National Provider Directory
Tax ID family
Dignity and Wisdom3 organizations share this tax ID, including this one
Part of
Dignity and Wisdom

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1427830595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 EL RANCHO VIS",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331725",
            "telephone_number": "714-261-7435",
            "fax_number": "714-451-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 CAMINO ESCONDIDO",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331542",
            "telephone_number": "714-261-7435",
            "fax_number": "714-451-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY AND WISDOM HOME CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY AND WISDOM HOME CARE LLC",
        "enumeration_date": "2023-10-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "TESFAY",
        "authorized_official_first_name": "SABA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-261-7435",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dignity and Wisdom II",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dignity and Wisdom II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.