A Dignified Adult Care Home LLC
Assisted Living Facility in Peoria, AZ. Organization (NPI-2).
NPI number1346070513
StatusActive
Last updated in NPPESAug 3, 2024
Details
- NPI
- 1346070513
- Entity type
- Organization (NPI-2)
- Legal business name
- A Dignified Adult Care Home LLC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2024
- Certification date
- Aug 2, 2024
- Last updated
- Aug 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
14952 N 78th AvePeoria, AZ 85381-3403
Phone 480-492-8937
Mailing address
14952 N 78th AvePeoria, AZ 85381-3403
Authorized official
Diana Kawuki
Owner
4804928937
Is something wrong?
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