Dignity Care Homes, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

2011015696 Issued in GA

Legal business name

DIGNITY CARE HOMES, LLC

Practice address

603 Effie Dr
Lawrenceville, GA 30045-3808

Phone

(678) 629-3267

NPI assigned

May 30, 2012

Last updated

May 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Beverly Agee Barnwell

Title

Executive Director

Phone

(678) 629-3267

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1629339361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 EFFIE DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453808",
            "telephone_number": "678-629-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 EFFIE DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453808",
            "telephone_number": "678-629-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY CARE HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "BARNWELL",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "AGEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-629-3267",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "2011015696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003351727A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Garrett Dickerson, M.D.
• Asterique Dickerson, RN, BSN
• Diane Chambers Dierks, MFT
• Ashley Chadwick Dieterich, PA-C
• Delia Kema Diggs, HAIR LOSS SPECIALIST
• Dignity Care Services, LLC
• Venkateswara Rao Dikkala, M.D.
• Darren Dillard, DO
• Nathaniel Tyler Dillard, MD
• Nyja Dilonardo, LCSW

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.