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NPI Code Detail

MEDICARE: DIRECT HOME HEALTHCARE, INC.

MEDICARE: DIRECT HOME HEALTHCARE, 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
1251J00000XNursing Care Agency
2251E00000XHome Health Agency1010414IL

General Provider Information

NPI Number : 1841389236
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIRECT HOME HEALTHCARE, INC.
Provider Business Mailing Address
First Line : 2250 E DEVON AVE STE 341
Second Line :
City : DES PLAINES
State : IL
Zip : 60018-4509
Country : US
Telephone Number : 773-516-4196
Fax Number : 844-310-3346
Provider Business Practice Location Address
First Line : 4001 W DEVON AVE
Second Line : SUITE 312
City : CHICAGO
State : IL
Zip : 60646-4523
Country : US
Telephone Number : 773-777-9271
Fax Number :
Authorized Official
Title or Position : PRESIDENT & ADMINISTRATOR
Name : JUDE NWOKENKWO
Credential :
Telephone Number : 773-777-9271
Provider Enumeration Date : 10/12/2006
Last Update Date : 01/27/2025

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