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DCARE INCORPORATED NPI 1760996094


NPI Information

NPI: 1760996094
Provider Name: DCARE INCORPORATED

Doing Business As: DCARE INTEGRATED CILA HOME

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
21816 OLIVIA AVE
SAUK VILLAGE, IL
ZIP 60411
Phone: (708) 515-9295
Get Directions

DCARE INCORPORATED is a community based residential treatment facility, intellectual and/or developmental disabilities in Sauk Village, IL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. DCARE INCORPORATED NPI is 1760996094. The provider is registered as an organization entity type.
The provider Is Doing Business As Dcare Integrated Cila Home.

The provider's business location address is:

21816 OLIVIA AVE
SAUK VILLAGE, IL
ZIP 60411-936
Phone: (708) 515-9295
Fax: (773) 941-4469

The provider's authorized official is Dedoyin Alamin .
The authorized official title is Administrator and has the following contact phone number (993) 941-4468.

The enumeration date for this NPI number is 11/22/2017 and was last updated on 6/16/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13001212MEDICAIDILLINOIS

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: 4/28/2024

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