Healthcare Provider Details

I. General information

NPI: 1114288594
Provider Name (Legal Business Name): DAYS ADULT DAY CARE AND PERSONAL CARE PROVIDERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2012
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2057 E 79TH ST
CHICAGO IL
60649-5042
US

IV. Provider business mailing address

2057 E 79TH ST
CHICAGO IL
60649-5042
US

V. Phone/Fax

Practice location:
  • Phone: 773-363-7770
  • Fax: 773-363-7774
Mailing address:
  • Phone: 773-363-7770
  • Fax: 773-363-7774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number2098577
License Number StateIL

VIII. Authorized Official

Name: HARRIET L DAY
Title or Position: PRESIDENT
Credential: RN
Phone: 773-363-7770