Healthcare Provider Details

I. General information

NPI: 1841389236
Provider Name (Legal Business Name): DIRECT HOME HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 W DEVON AVE SUITE 312
CHICAGO IL
60646-4523
US

IV. Provider business mailing address

2250 E DEVON AVE STE 341
DES PLAINES IL
60018-4509
US

V. Phone/Fax

Practice location:
  • Phone: 773-777-9271
  • Fax:
Mailing address:
  • Phone: 773-516-4196
  • Fax: 844-310-3346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1010414
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JUDE NWOKENKWO
Title or Position: PRESIDENT & ADMINISTRATOR
Credential:
Phone: 773-777-9271