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DUBOIS-DOUGLAS INC. NPI 1982046355


NPI Information

NPI: 1982046355
Provider Name: DUBOIS-DOUGLAS, INC.
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
1016 W JACKSON BLVD
CHICAGO, IL
ZIP 60607
Phone: (312) 288-8640
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DUBOIS-DOUGLAS, INC. is an in home supportive care in Chicago, IL. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. DUBOIS-DOUGLAS, INC. NPI is 1982046355. The provider is registered as an organization entity type.

The provider's business location address is:

1016 W JACKSON BLVD
CHICAGO, IL
ZIP 60607-914
Phone: (312) 288-8640
Fax: (312) 243-1516

The provider's authorized official is Funmi Martins-mensah .
The authorized official title is Executive Director and has the following contact phone number (815) 295-3146.

The enumeration date for this NPI number is 7/25/2013 and was last updated on 10/20/2016.


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
1302R00000XHealth Maintenance Organization44CSA00737ILLINOISNo
2253Z00000XIn Home Supportive CareQMXHPQ0915ILLINOISNo
3305S00000XPoint of ServiceQXIPQ0000096439ILLINOISNo
4253Z00000XIn Home Supportive Care12HM519014ILLINOISYes

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
1=========801MEDICAIDILLINOIS
20802MEDICAIDILLINOIS
30302MEDICAIDILLINOIS
40100MEDICAIDILLINOIS
50301MEDICAIDILLINOIS

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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