Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
Dominican Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH
Authorized official
MICHAEL WALSH (CHIEF FINANCIAL OFFICER)
(831) 462-7504
Entity
Organization
Contact information
Practice address
2045 40TH AVE, SUITE A, CAPITOLA, CA 95010-2549
(831) 465-7988
(831) 465-7996
Mailing address
1555 SOQUEL DR, HOME HEALTH, SANTA CRUZ, CA 95065-1705
(831) 462-7501
(831) 462-7555
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
070000473
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
721561119
IRS - SP TAX ID
—
01
—
CGP170499
DHS
CA
05
—
HHA08052G
—
CA
01
—
ZZZ24141Z
BLUE SHIELD
CA
Enumeration date
03/19/2007
Last updated
09/30/2016
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