Dignity Living Centers of North America Palo Verde

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN153739 Issued in AZ

Legal business name

DIGNITY LIVING CENTERS OF NORTH AMERICA PALO VERDE

Practice address

4614 W Palo Verde Dr
Glendale, AZ 85301-6249

Phone

(623) 934-0094

Fax

(480) 247-5288

NPI assigned

Mar 31, 2016

Last updated

Mar 31, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

DIGNITY LIVING CENTERS OF NORTH AMERICA PALO VERDE LLCAs reported in NPPES

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

Authorized official

Name

Julie Anna Hendershott, RNNPI 1073905980

Title

Clinical Director

Phone

(480) 524-3422

Specialties & licenses 12

Addresses

Part of

Dignity Living Centers of North America Palo Verde LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dignity Living Centers of North America Palo Verde LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Glendale, AZ
  • NPI 1639565922
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Hendershott

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1073905980
  NPD (past) Authorized official

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1437512084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 W PALO VERDE DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016249",
            "telephone_number": "623-934-0094",
            "fax_number": "480-247-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 W PALO VERDE DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016249",
            "telephone_number": "623-934-0094",
            "fax_number": "480-247-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY LIVING CENTERS OF NORTH AMERICA PALO VERDE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY LIVING CENTERS OF NORTH AMERICA PALO VERDE LLC",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "HENDERSHOTT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-524-3422",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "RN153739",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "RN153739",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN153739",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "AZ",
            "license": "RN153739",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "AZ",
            "license": "RN153739",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "RN153739",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "AZ",
            "license": "RN153739",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "AZ",
            "license": "RN153739",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "RN153739",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "AZ",
            "license": "RN153739",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "AZ",
            "license": "RN153739",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "AZ",
            "license": "RN153739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Michelle Diehl, MD
• Beth Anne Dietrich, CTRS, MS
• Jonathan R. Dietrich, PHARMD
• Dignity Health (St. Josephs Hospital and Medical Center Emergency Dept-Glendale)
• Dignity Health (St. Joseph's Westgate Medical Center)
• Dignity Living Centers of North America Palo Verde LLC
• Marianna L Dileonardo
• Robin Beatrice Dilley, PH.D
• Carissa Marie Dillinger, LAAC15454
• Lucas Wethington Dillon, RBT

• General Practice Registered Nurse in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.