NPIMap

Organization Active NPI

Dignity Living Centers of North America Palo Verde LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Glendale, AZ
National Provider Identifier
1639565922
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
DIGNITY LIVING CENTERS OF NORTH AMERICA PALO VERDE LLC
Practice address
4614 W Palo Verde Dr
Glendale, AZ 85301-6249
Phone
(623) 934-0094
Fax
(480) 247-5288
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Ms. Julie Anna Hendershott, R.N.NPI 1073905980
Title
Partner/Administrator/Manager
Phone
(480) 658-6920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary
Physical Disabilities Residential Treatment Facility 320700000X
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

4614 W Palo Verde Dr
Glendale, AZ 85301-6249

Mailing address

4614 W Palo Verde Dr
Glendale, AZ 85301-6249
Phone (623) 934-0094

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1639565922",
    "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 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "HENDERSHOTT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "PARTNER/ADMINISTRATOR/MANAGER",
        "authorized_official_telephone_number": "480-658-6920",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.