Healthcare Provider Details

I. General information

NPI: 1427284348
Provider Name (Legal Business Name): DCARE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2009
Last Update Date: 08/30/2021
Certification Date: 08/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18656 DIXIE HIGHWAY
HOMEWOOD IL
60430
US

IV. Provider business mailing address

18656 DIXIE HIGHWAY
HOMEWOOD IL
60430
US

V. Phone/Fax

Practice location:
  • Phone: 773-941-4468
  • Fax: 773-941-4469
Mailing address:
  • Phone: 773-941-4468
  • Fax: 773-941-4469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1010477
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DEDOYIN AL-AMIN
Title or Position: ADMINISTRATOR
Credential:
Phone: 773-941-4468