MEDICARE: NIVEK HOME HEALTH AND ASSOCIATES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1010275	IL
2	251F00000X	Home Infusion Agency	1010275	IL

General Provider Information

NPI Number	:	1578579660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIVEK HOME HEALTH AND ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	1641 WEST 79TH STREET
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60621-0000
Country	:	US
Telephone Number	:	773-863-0677
Fax Number	:	773-863-0680

Provider Business Practice Location Address
First Line	:	1641 WEST 79TH STREET
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60620-4430
Country	:	US
Telephone Number	:	773-863-0677
Fax Number	:	773-863-0680

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MS. YVETTA L MASSEY
Credential	:	RN
Telephone Number	:	773-863-0677

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	09/11/2025

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