DOMINION CARE NETWORK LLC NPI 1689510505

NPI Information

  • NPI: 1689510505
  • Provider Name: DOMINION CARE NETWORK LLC
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Organization
  • Address: 16150 CICERO AVE STE 12
    OAK FOREST, IL
    ZIP 60452
  • Phone: (708) 970-0358

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NPI Details

DOMINION CARE NETWORK LLC is a peer specialist in Oak Forest, IL. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. DOMINION CARE NETWORK LLC NPI is 1689510505. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16150 CICERO AVE STE 12
OAK FOREST, IL
ZIP 60452-136
Phone: (708) 970-0358

The provider's authorized official is Dominique L Mckenzie .
The authorized official title is Manager and has the following contact phone number (708) 970-0358.

The enumeration date for this NPI number is 4/24/2026 and was last updated on 4/24/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106S00000XBehavior TechnicianNo
2163WC1500XRegistered NurseCommunity HealthNo
3163WG0000XRegistered NurseGeneral PracticeNo
4171400000XHealth and Wellness CoachNo
5171M00000XCase Manager/Care CoordinatorNo
6172V00000XCommunity Health WorkerNo
7251C00000XDay Training, Developmentally Disabled ServicesNo
8251S00000XCommunity/Behavioral HealthNo
9253Z00000XIn Home Supportive CareNo
10332U00000XHome Delivered MealsNo
11373H00000XDay Training/Habilitation SpecialistNo
12374U00000XHome Health AideNo
13376J00000XHomemakerNo
14376K00000XNurse's AideNo
15175T00000XPeer SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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