Octagon Dignity Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OCTAGON DIGNITY HOME HEALTH

Practice address

11440 W Bernardo CT Ste 317
San Diego, CA 92127-1641

Phone

(619) 683-6585

Fax

(888) 830-1484

NPI assigned

Jun 12, 2022

Organization subpart

No

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

Authorized official

Name

Lauren Garcia

Title

Ceo

Phone

(619) 683-6585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1654992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654992000000",
    "number": "1982334157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 W BERNARDO CT STE 317",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271641",
            "telephone_number": "619-683-6585",
            "fax_number": "888-830-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 W BERNARDO CT STE 317",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271641",
            "telephone_number": "619-683-6585",
            "fax_number": "888-830-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAGON DIGNITY HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-12",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-683-6585"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.